TEACHERS SERVICE COMMISSION
APPLICATION FOR EMPLOYMENT FORM
Please complete this form in BLOCK letters as appropriate and submit to the Secretary, Teachers Service Commission of Kenya, P.O.BOX PRIVATE BAG, 00100 NAIROBI, KENYA..
1. Vacancy Applied For
Vacancy/Post:…………………………………………………………Vacancy No:………….………….………………………………… Department:……………………….……………………………………………..Division:………………..……………………….….……
2. Personal Details
Name of applicant:………………………. …………..………….…..… ……………………………… Title:………………………… (Surname) First Name Other Name(s): (Prof/Dr/Mr/Mrs/Miss/Ms/Rev)
Date of Birth:………………………………………………………………………….. Gender: Male
(dd-mm-yyyy)
Female
Nationality:………………………………IDNo/Passport No:…………………………Employment/PNo:……………………….….…… Address:……………………………………………..…Postal Code:…………………………………..………………………………..…. Home District:…………………………………………….…………..County:……..………..………….:.……….………….……………. Telephone:……………………………………Mobile:………………………………E-mail address:…………..………….…….……….. Alternative contact person:……….…………………………………………………………………..Telephone:………………………………………
3. Applicants in the Public Service only
Ministry/Department/Local Authority/Other Public Institutions:……………….……………………………..Station:…………………….
Present Substantive Post:…………………………………………Job group:…………………… effective date:……………………..….
(dd-mm-yyyy)
Upgrading (if applicable) post:…………………………………………………………….effective date:………………………………….
(dd-mm-yyyy)
Terms of Service:
Permanent & Pensionable
Contract
Temporary
4. Applicants in Private/NGO/ Other Sectors
Current employer:…………………………Position held:………………………….effective date:……………….……………………
(dd-mm-yyyy)
Salary (monthly) Kshs..………………………………………………….
5. Other Details
Indicate the language(s) you are proficient in……………………………………………………………………………………………….
Do you suffer from any physical impairment? Yes No
If yes give details:……………………………………………………………………..…………………………………………….……….
Have you ever been convicted of any criminal offences or a subject of probation order? Yes No
Have you ever been dismissed or otherwise removed from employment?
If Yes, State reason (s) for dismissal/removal…………………..…………………………………….….effective date……………………
(dd-mm-yyyy)
Have you ever been interviewed by Teachers Service Commission of Kenya before? Yes No
If Yes, State the Post:……………………………………………………………… Interview date:………………………….……………
(Declaring the above information will not necessarily debar an applicant from employment in Teachers Service Commission. Each case will be considered on its own merit)
6 Academic /Professional/Technical Qualifications (Starting with the Highest)
| Year | University/College/ Institution/School | Award/Attainment (e.g. Degree, Diploma,
Certificate) |
Courses (e.g. PhD, Msc, BA) | Subject (Econ, Maths, etc) | Class/Grade | |
| From | To | |||||
- Other Relevant Courses and Training /Registration/Membership to Professional Bodies/Institution
| Year | Institution/ College | Courses | Details |
- Employment Details (starting with the most recent)
| Year | Employer’s Name | Position/Rank/
Designation |
Job Group/Gross Monthly Salary
(Kshs.) |
|
| From | To | |||
- Briefly state your; current duties, responsibilities and assignments
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.………………………………………………………………………………………………………………………………………………
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- Please give details of your abilities, skills and experience which you consider are relevant to the position applied The information may include an outline of your most recent achievements and your reasons for applying
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- Personal References The names of distinguished persons should not be used unless they really know you well; the names of relatives or of those from whom you send testimonials should not be used. The names of members or staff of the Teachers Service Commission of Kenya should also not be used.
- Full Name:……………………………………………………………………………..………………….……………………………… Address:…………………………………………………………………………………………..…………………………..……………… Telephone No:……………………………………………E-mail address:……………………………………………………………………. Occupation:…………………………………………………………………………………………………………………………………… Period for which he/she has known you:………………………………………..……………………………………………………………
- Full Name:……………………………………………………………………………….……………….………………………………. Address:………………………………………………………………………………….………………..………………………………… Telephone No:……………………………………………. E-mail address:……………………………………………………………….. Occupation:………………………………………………………………………………………………..…………………………………
Period for which /he/she has known you:……………………………………………………………….……………………………………
12. Head of Department/Supervisor Recommendation
(Recommended for Applicants in Public Service).
Declaration:
I hereby certify to the best of my knowledge that the particulars given on this form are correct and I understand that any incorrect information may lead to disqualification/legal action.
Date: ………………………………………..……. ………………………………………………. (dd-mm-yyyy) Signature of the Applicant