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

 

7. Other Relevant Courses and Training /Registration/Membership to Professional Bodies/Institution

 

Year	Institution/ College	Courses	Details

 

8. Employment Details (starting with the most recent)

 

Year		Employer’s Name	Position/Rank/ Designation	Job Group/Gross Monthly Salary (Kshs.)
From	To

 

9. Briefly state your; current duties, responsibilities and assignments

 

……………………………………………………………………………………………………………………………………………….

.………………………………………………………………………………………………………………………………………………

.………………………………………………………………………………………………………………………………………………

.…………………………………………………………………………………………………………………….…….…..……………

10. 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

 

………….……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………….………………………

………….……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………….

 

11. 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.

 

1. Full Name:……………………………………………………………………………..………………….……………………………… Address:…………………………………………………………………………………………..…………………………..……………… Telephone No:……………………………………………E-mail address:……………………………………………………………………. Occupation:…………………………………………………………………………………………………………………………………… Period for which he/she has known you:………………………………………..……………………………………………………………

 

2. 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