teacher application form patna east · 2020. 3. 28. · kashi place, dak bungalow road, patna 800...
TRANSCRIPT
NAME _____________________________________________
SUBJECT APPLIED FOR ______________________________
GRADE
A���������� F���TEACHER
AD HOC PRT TGT PGT OTHER
Serial No.:
NurturingNurturingfuture leaders...future leaders...
Nurturingfuture leaders...
Kashi Place, Dak Bungalow Road, Patna 800 001
+91-612-222 2222 +91-98100 98100 [email protected]
Delhi Public School Patna EastU���� ��� ����� �� T�� D���� P����� S����� S������, N�� D����
1. Acceptance of this application form does not confirm an appointment.
2. The school administration will inform selected candidates only and the decision
of the School and the selection committee will be final.
PLEASE NOTE:
DELHI PUBLIC SCHOOL PATNA EAST# | DELHI PUBLIC SCHOOL PATNA EAST 1|
Ms/Mr ____________________________________________________________________________________________________
Date of Birth _______ / _______ / _______ / _______ / _______ / _______(ddmmyy)
_____________________________________________________________________________________________________________________________________in words
Age _______ / _______ / _______ / _______ / _______ / _______ / _______(on the date of application) year months days
Contact Address ____________________________________________________________________________________________________
____________________________________________________________________________________________________
Telephone No.(s) _________________________________________________ E-mail _____________________________________________
Place of Birth _________________________________________________ State _____________________________________________
Nationality
Religion
_________________________________________________ Marital Status ___________ Date of Marriage _____________
_________________________________________________ Cast: SC/ST/OBC_______________ Category: ____________
Children Name Gender Age in years
1. ____________________________________________ _______________________ _________________________
2. ____________________________________________ _______________________ _________________________
3. ____________________________________________ _______________________ _________________________
Subject Applied for
___________________________
Paste a
passport size
colour
photograph
here
PART A – RESUME Personal Information
Name in BLOCK letters
Grade Applied for(Please tick the appropriate grade)
AD HOC PRT TGT PGT OTHER Instructions1. You are requested to fill this application form in your handwriting.2. Do not attach any certificate with this application form.3. Submission of any false information will make you liable for summary rejection at the time of interview, or if appointed, termination without notice4. In the column for academic information, please fill in only recognized and completed qualifications.
DELHI PUBLIC SCHOOL PATNA EAST2 | DELHI PUBLIC SCHOOL PATNA EAST 3|
Name & Occupation _______________________________________________________ __________________________________________Father Occupation
_______________________________________________________ __________________________________________Mother Occupation
_______________________________________________________ __________________________________________Spouse Occupation
Office Address & __________________________________________________________________________ _______________________Father Tel
__________________________________________________________________________ _______________________Mother Tel
__________________________________________________________________________ _______________________Spouse Tel
Telephone No.(s)
Academic/Professional Qualifications
DivisionDiscipline/
SubjectSchool/College
Board/University
Year ofpassing
Percentageof Marks
Qualification
High School/10th
Inter/+2
Graduation
Post Graduation
B.Ed.
CTET
_______________________________________________________ Specify whether spouse's job is transferrable
Any Other
_______________________________________________________________________________
Details
Details
Scholarship/ ____________________________________________________________________________________________________
Awards/Honours
____________________________________________________________________________________________________
Research Work/ ____________________________________________________________________________________________________
Publication
____________________________________________________________________________________________________
Co-curricular ____________________________________________________________________________________________________
Activities
____________________________________________________________________________________________________
Sports/Games/ ____________________________________________________________________________________________________
Outdoor Activities
____________________________________________________________________________________________________
Proficiency in Language Language(Write Mother Tongue at # I)
Read Write Speak
1
2
3
Proficiency in Computer Do you have internet connection at home?
Do you regularly work on a computer?
If yes, what software can you use proficiently?
How frequently do you access your email?
Yes No
Yes No
DELHI PUBLIC SCHOOL PATNA EAST2 | DELHI PUBLIC SCHOOL PATNA EAST 3|
Name & Occupation _______________________________________________________ __________________________________________Father Occupation
_______________________________________________________ __________________________________________Mother Occupation
_______________________________________________________ __________________________________________Spouse Occupation
Office Address & __________________________________________________________________________ _______________________Father Tel
__________________________________________________________________________ _______________________Mother Tel
__________________________________________________________________________ _______________________Spouse Tel
Telephone No.(s)
Academic/Professional Qualifications
DivisionDiscipline/
SubjectSchool/College
Board/University
Year ofpassing
Percentageof Marks
Qualification
High School/10th
Inter/+2
Graduation
Post Graduation
B.Ed.
CTET
_______________________________________________________ Specify whether spouse's job is transferrable
Any Other
_______________________________________________________________________________
Details
Details
Scholarship/ ____________________________________________________________________________________________________
Awards/Honours
____________________________________________________________________________________________________
Research Work/ ____________________________________________________________________________________________________
Publication
____________________________________________________________________________________________________
Co-curricular ____________________________________________________________________________________________________
Activities
____________________________________________________________________________________________________
Sports/Games/ ____________________________________________________________________________________________________
Outdoor Activities
____________________________________________________________________________________________________
Proficiency in Language Language(Write Mother Tongue at # I)
Read Write Speak
1
2
3
Proficiency in Computer Do you have internet connection at home?
Do you regularly work on a computer?
If yes, what software can you use proficiently?
How frequently do you access your email?
Yes No
Yes No
DELHI PUBLIC SCHOOL PATNA EAST4 | DELHI PUBLIC SCHOOL PATNA EAST 5|
Work Experience
Work Experience
Total Experience Teaching Administration(In Years)
Any other
(please specify)
Particulars of Name and full address of present/last organization
previous job
____________________________________________________________________________________________________
Are you under service bond? (if yes, give details)
Interests From the following indicate the areas of your interests, in order of preference
Sports Activities
Athletics
Badminton
Basket Ball
Carrom
Chess
Cricket
Darts
Football
Gymnastics
Handball
Hockey
Judo
Karate
Lawn Tennis
Skating
Swimming
Table Tennis
Volley Ball
Co-curricular Activities
Advertising
Archaeology
Art Galleries
Clay Modelling
Dance
Dramatics
Film/TV/Journalism
Fine Arts
Gardening
Interior Designing
International Organisation
Literary Activities
Museums
Music
NCC/Scouts/Guides
Philately
Photography
Physical Fitness
Red Cross
Academics
Accountancy
Ancient Civilisation
Anthropology
Art/History
Banking
Business Administration
Management
Computer Science
Economics
Environmental Studies
International Relations
Languages
Literature
Mathematical Science
Natural Science
Physical/Applied Science
Social Science
1
2
3
Describe in brief, what you have gained from your interests.
1
2
3
1
2
3
DELHI PUBLIC SCHOOL PATNA EAST4 | DELHI PUBLIC SCHOOL PATNA EAST 5|
Work Experience
Work Experience
Total Experience Teaching Administration(In Years)
Any other
(please specify)
Particulars of Name and full address of present/last organization
previous job
____________________________________________________________________________________________________
Are you under service bond? (if yes, give details)
Interests From the following indicate the areas of your interests, in order of preference
Sports Activities
Athletics
Badminton
Basket Ball
Carrom
Chess
Cricket
Darts
Football
Gymnastics
Handball
Hockey
Judo
Karate
Lawn Tennis
Skating
Swimming
Table Tennis
Volley Ball
Co-curricular Activities
Advertising
Archaeology
Art Galleries
Clay Modelling
Dance
Dramatics
Film/TV/Journalism
Fine Arts
Gardening
Interior Designing
International Organisation
Literary Activities
Museums
Music
NCC/Scouts/Guides
Philately
Photography
Physical Fitness
Red Cross
Academics
Accountancy
Ancient Civilisation
Anthropology
Art/History
Banking
Business Administration
Management
Computer Science
Economics
Environmental Studies
International Relations
Languages
Literature
Mathematical Science
Natural Science
Physical/Applied Science
Social Science
1
2
3
Describe in brief, what you have gained from your interests.
1
2
3
1
2
3
DELHI PUBLIC SCHOOL PATNA EAST6 | DELHI PUBLIC SCHOOL PATNA EAST 7|
Other Information
Name of three books ____________________________________________________________________________________________________
recently read with____________________________________________________________________________________________________
names of authors
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Title Author(s)
1
2
3
Do you suffer from
any major ailment/
medical problem?
If yes, give details______________________________________________________________________________________
____________________________________________________________________________________________________
Yes No
Newspapers which you subscribe at home
____________________________________________________________________________________________________
Magazines whichyou read regularly
___________________________________________________________________________________________________
Your favouriteTV Channels
___________________________________________________________________________________________________
Have you ever been convicted by any court of law or is any disciplinary proceeding/enquirypending against you or has any penalty been imposed on you?
Yes No
If yes, give details _____________________________________________________________________________________
____________________________________________________________________________________________________
Give details of two references (other than relatives in the field of education).
Is any member of your family employed in any Delhi Public School? Yes No
If Yes, give details:
Miscellaneous
Nearest DPS Bus Stop & its distance from your home ______________________________________________________________________________
Who all live together with you? _________________________________________________________________________________________________
How did you come to know about Job Opening in DPS Newspaper DPS Teacher Parent of DPS Website Others
If other, please specify _______________________________________________________________________________________________________
DELHI PUBLIC SCHOOL PATNA EAST6 | DELHI PUBLIC SCHOOL PATNA EAST 7|
Other Information
Name of three books ____________________________________________________________________________________________________
recently read with____________________________________________________________________________________________________
names of authors
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Title Author(s)
1
2
3
Do you suffer from
any major ailment/
medical problem?
If yes, give details______________________________________________________________________________________
____________________________________________________________________________________________________
Yes No
Newspapers which you subscribe at home
____________________________________________________________________________________________________
Magazines whichyou read regularly
___________________________________________________________________________________________________
Your favouriteTV Channels
___________________________________________________________________________________________________
Have you ever been convicted by any court of law or is any disciplinary proceeding/enquirypending against you or has any penalty been imposed on you?
Yes No
If yes, give details _____________________________________________________________________________________
____________________________________________________________________________________________________
Give details of two references (other than relatives in the field of education).
Is any member of your family employed in any Delhi Public School? Yes No
If Yes, give details:
Miscellaneous
Nearest DPS Bus Stop & its distance from your home ______________________________________________________________________________
Who all live together with you? _________________________________________________________________________________________________
How did you come to know about Job Opening in DPS Newspaper DPS Teacher Parent of DPS Website Others
If other, please specify _______________________________________________________________________________________________________
DELHI PUBLIC SCHOOL PATNA EAST8 | DELHI PUBLIC SCHOOL PATNA EAST 9|
PART B – GETTING TO KNOW YOU
Describe yourself as a person. What are your strengths and weaknesses?
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Given a chance, what would you like to work upon – your strengths or weakness?
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Describe briefly how your achievements (already explained by you) have made you a better person.
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Have you ever adopted a non-traditional approach to manage or handle a situation (child related)? Describe your approach and the outcome.
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Briefly tell us of any one situation or event where your potential as a teacher has been exhibited.
___________________________________________________________________________________________________________________________
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Five years down the line you see yourself as:
___________________________________________________________________________________________________________________________
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You idolize people who...
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DELHI PUBLIC SCHOOL PATNA EAST8 | DELHI PUBLIC SCHOOL PATNA EAST 9|
PART B – GETTING TO KNOW YOU
Describe yourself as a person. What are your strengths and weaknesses?
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Given a chance, what would you like to work upon – your strengths or weakness?
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Describe briefly how your achievements (already explained by you) have made you a better person.
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Have you ever adopted a non-traditional approach to manage or handle a situation (child related)? Describe your approach and the outcome.
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Briefly tell us of any one situation or event where your potential as a teacher has been exhibited.
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
Five years down the line you see yourself as:
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
You idolize people who...
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
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DELHI PUBLIC SCHOOL PATNA EAST10 | DELHI PUBLIC SCHOOL PATNA EAST 11|
Describe in brief how you would like your classroom to look like.
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You, as a child, a teenager, an adult
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DELHI PUBLIC SCHOOL PATNA EAST10 | DELHI PUBLIC SCHOOL PATNA EAST 11|
Describe in brief how you would like your classroom to look like.
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You, as a child, a teenager, an adult
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DELHI PUBLIC SCHOOL PATNA EAST12 | DELHI PUBLIC SCHOOL PATNA EAST #|
Approved byPro Vice-Chairman/Director Principal
For office use only
Written Test Date Marks
Selected Rejected
Preliminary Interview Date Chaired by
Selected Rejected Signed by
Demo Date Chaired by
Selected Rejected Signed by
Final Interview Date Chaired by
Selected Rejected Signed by
May join with effect from
Grade Salary
Delhi Public School Patna EastU���� ��� ����� �� T�� D���� P����� S����� S������, N�� D����
Kashi Place, Dak Bungalow Road, Patna 800 001
+91-612-222 2222 +91-98100 98100
www.dpspatnaeast.com