APPLICATION FORM (Completed forms should be emailed to recruitment@dulwich-singapore.edu.sg ) Title of post applied for: 1. PERSONAL DETAILS SURNAME: FIRST NAME: Preferred title: (Mr/Ms/Mrs/Miss/Dr/Other) Home address: Other names used (maiden name prior to marriage): Preferred name: Home telephone no.: Work telephone no.: Mobile telephone no.: E-mail address: Nationality: Date of Birth: Place of Birth: FIN/NRIC Number: Current Salary: Current notice period: 2. HIGHER EDUCATION (including professional/teacher training) University / College Dates From To Qualifications Main Subjects Certificates to prove qualifications will be requested for successful applicants. Grade / Class 3. OTHER QUALIFICATION AND COURSES ATTENDED Education Centre or Institution From To Course Title and Qualifications 4. CURRENT OR MOST RECENT EMPLOYMENT Name of Organiation: Location: Nature of Business: Period of Employment (DD/MM/YYYY) From: To: Position: Employment Basis (delete accordingly): Full-time / Contract / Part-time Key Responsibilities: Annual remuneration (including bonus) $ $ Reason for leaving Dulwich College (Singapore) Pte. Ltd. Registration No. (UEN) 201027137D 71 Bukit Batok West Avenue 8, Singapore, 658966 Main: +65 6890 1000 | Email: recruitment@dulwich-singapore.edu.sg Web: http://www.dulwich-singapore.edu.sg 2 5. PAST WORK EXPERIENCE (Full or Part Time) Organisation 1 Organisation 2 Name & Location: Nature of Business: Position Held: Key Responsibilities Period of Employment From Annual remuneration (including bonus) $ To From To $ Reason for leaving 6. LANGUAGE COMPETENCIES For each language, please rate your proficiency as “Basic, Fair, Good, or Excellent”. Language(s): Written Proficiency: Spoken Proficiency: Reading Proficiency: 7. IT COMPETENCIES For each of the software below, please rate your proficiency as “Basic, Fair, Good, or Excellent”. Software: Proficiency: Other software(s): Proficiency: Microsoft Word Microsoft Excel Microsoft Powerpoint Microsoft Outlook 8. HOBBIES AND INTERESTS 9. PLEASE INDICATE WHERE YOU SAW THIS POST ADVERTISED: Dulwich College (Singapore) website Jobstreet.com WDA Jobs Bank Referral from a Dulwich Employee Other online recruitment site Other (please state) Dulwich College (Singapore) Pte. Ltd. Registration No. (UEN) 201027137D 71 Bukit Batok West Avenue 8, Singapore, 658966 Main: +65 6890 1000 | Email: recruitment@dulwich-singapore.edu.sg Web: http://www.dulwich-singapore.edu.sg 4 10. NAMES OF REFEREES If you are currently employed, you must give the name and contact information of your immediate supervisor. Name: Name: Address: Address: Position: Relationship to you: Position: Relationship to you: Telephone Number: Telephone Number: Work email address: Work email address: Appointments will only be confirmed to successful candidates when the two satisfactory references have been received, along with evidence of qualifications and evidence of the right to work in Singapore. The appointment of candidates requiring work passes are subject to MOM approval. 11. DECLARATION I certify that my replies are true and correct to the best of my knowledge. I understand that if I knowingly make any false statements or withhold any relevant information, this may result in my subsequent dismissal or the withdrawal of any offer of appointment. Signature: Date: Covering Letter Please write a letter in support of your application, which must not exceed the space allowed on this form, describing relevant experience, skills, etc., and setting out your reasons for applying for this post. Dulwich College (Singapore) Pte. Ltd. Registration No. (UEN) 201027137D 71 Bukit Batok West Avenue 8, Singapore, 658966 Main: +65 6890 1000 | Email: recruitment@dulwich-singapore.edu.sg Web: http://www.dulwich-singapore.edu.sg 6