EXAMINATIONS UNIT
APPLICATION FOR SHORT-TERM EMPLOYMENT: SUPERVISION (C.X.C / CAPE Examinations)
This form must be completed in BLOCK LETTERS using BLACK or BLUE INK only
1. Name: ………………………………………………………………… …………………………………………………………………
(First Name) (Surname)
2. Address: ………………………………………………………………………………………………………………………………………………………….
3. E-mail Address: ……………………………………………………………………….Date of Birth: ……………………………….(DD/MM/YYYY
Telephone Contact: (Home) ……………………………….. (Cell) …………………………………
4. Do you have any relatives writing CXC/CAPE examinations - …………… Yes No
(Year of Exam)
5. Please tick the post(s) for which you are applying:
POST
Coordinator
Supervisor
Assistant Supervisor
6. Do you own a vehicle? ………………… (Yes/No) (Only relevant to persons applying for Coordinator)
7. Secondary Education Information:
Qualification Attained: …………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………..
8. a) Have you ever worked at the Ministry of Education, Examinations Unit? Yes No
b) If Yes, Please indicate what service you have provided to the Examinations Unit within the last three years
Year C.S.E.C. /C.A.P.E./Other Month Name of Centre/School Position Held
9. Please tick the Area in which you wish to be employed from the list below:
Area Area
Diego Martin Couva/ Carapichaima
Port of Spain Rio Claro/ Mayaro/ Manzanilla/ Tabaquite
San Juan/ Barataria San Fernando
Tunapuna/ St. Joseph/ El Dorado/ St. Augustine Princes Town/ Moruga
Arima Point Fortin/ Vessigny/ Cedros
Blachisseuse Siparia/ Fyzabad/ Palo Seco
Sangre Grande Barrackpore/ Penal
Toco/ Matelot Tobago
Chaguanas
Date:………………………… Signature:……………………………………………………………………………………