Sekolah Mutiara Nusantara
Jl Sersan Bajuri Km. 1.5 RT 3 RW 1, Sukabaru, Parongpong, Bandung, West Java, Indonesia
Tel: (022) 201-7773  Fax: (022) 201-7765  Web: www.mnis.sch.id  Email: info@mnis.sch.id
TEACHER APPLICATION FORM
Thank you for your interest in joining the teaching team of our school. It is our desire that
you find the right place that you are looking for, and that we find the right teacher we are
looking for. This application process will help us both to determine if we are a fit for one
another.
Returning this completed Application Form (with photo attached) is the beginning of this
process. If your qualities seem to match our needs, then we will send a follow up
Application Questionnaire to you and an Employment Questionnaire to your listed
references. Finally, a telephone interview will be conducted before the decision is made.
PHOTO
*Please email this application to: hrd@mnis.sch.id
PERSONAL INFORMATION
Name
Email
Present Address
Phone #1
Phone #2
Nationality
Birth Date
Religion
Best Time to Call
Permanent Address
FAMILY INFORMATION
Dependents
Spouse
Child
Child
Name
Age
Grade
Nationality (of Passport)
Child
HEALTH INFORMATION
Date of your most recent physical/medical examination
General health/physical condition
Do you have any chronic ailment/physical disabilities?
Are you taking any medications?
Are you allergic to anything?
ADDITIONAL HEALTH INFORMATION/DESCRIPTIONS
MNIS / TAP-100
Height
Weight
(If yes, please describe below.)
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Sekolah Mutiara Nusantara
Jl Sersan Bajuri Km. 1.5 RT 3 RW 1, Sukabaru, Parongpong, Bandung, West Java, Indonesia
Tel: (022) 201-7773  Fax: (022) 201-7765  Web: www.mnis.sch.id  Email: info@mnis.sch.id
TEACHER APPLICATION FORM
HIGHER EDUCATION
College/University
Degree/Major
Year Graduated
GPA
College/University
Degree/Major
Year Graduated
GPA
College/University
Degree/Major
Year Graduated
GPA
CERTIFICATION
Organization
Subject Area
Date Completed
Date Expires
Organization
Subject Area
Date Completed
Date Expires
TEACHING EXPERIENCE
School/Institution
Location
Subjects/Levels
Reason for Leaving
School/Institution
Location
Subjects/Levels
Reason for Leaving
School/Institution
Location
Subjects/Levels
Total years of full time teaching experience
Start Date
End Date
Start Date
End Date
Start Date
End Date
Reason for Leaving
REFERENCES
Name
Organization
Position
Location
Email
Phone #
Name
Organization
Position
Location
Email
Phone #
Name
Position
Organization
Email
Location
Phone #
MNIS / TAP-100
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Sekolah Mutiara Nusantara
Jl Sersan Bajuri Km. 1.5 RT 3 RW 1, Sukabaru, Parongpong, Bandung, West Java, Indonesia
Tel: (022) 201-7773  Fax: (022) 201-7765  Web: www.mnis.sch.id  Email: info@mnis.sch.id
TEACHER APPLICATION FORM
PERSONAL HISTORY
Have you ever accepted Jesus Christ as your personal Savior?
Do you hold a legal passport valid for more than six (6) months?
Have you ever been deported from a country?
Have you ever been convicted of a crime or misdemeanor?
Do you have any pending charges against you?
Do you have any financial/family obligations that could hinder continued employment?
ADDITIONAL QUESTIONS
Which age group/grade level do you prefer working with? Why?
What is your philosophy on student discipline?
Please describe any previous overseas experience.
Please comment on why you have applied for a teaching position overseas.
Please comment on why you have applied for a teaching position at a Christian school.
Please tell us how you hear about Mutiara Nusantara International school.
By sending, I fully understand the contents of this application and that the answers given by me are true and correct. I agree that
MNIS shall not be held liable in any respect if I am denied employment or terminated following employment if it is verified that I
submitted false information and/or omitted pertinent information to obtain employment.
MNIS / TAP-100
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