RESIDENT MONITOR RECRUITMENT FORM

Applicants must complete all sections of Part A and request their heads/principals to complete Part B.
Applications submitted with incomplete Part B will not be processed.

PART A

1. First Name

2. Surname

3. I.D. Number

4. Gender & DOB Male Female DOB

5. Home Address

6. Telephone (Home)

7. Cell Number

8. Work Experience

NAME OF POSITION HELD PERIOD DUTIES

INSTITUTE/SCHOOL
 9. Academic qualifications
e.g. A-Level, B.A. Gen./UZ/1988/Degree

10. Professional qualifications

e.g C.E. Dipl. Ed., Grad CE/UZ/1990/Degree
Please attach certified copies of your qualifications

11. Work Address

12. Business Phone

13. Region

14. District

15. Please indicate where you prefer to be stationed.eg Mashonaland East, Harare

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

PART B

16. Declaration

I …………………………………………………… declare that the information I have given above is true.

(Full names)

Signed ……………………………………………. Date …………………………………………………….

Recommendation by Head of institution

I ………………………………………………………. Recommend/do not recommend ……………………………….for

the positon of Resident Monitor.

Date ………………………………………………………………….

Signed
HEAD OF INSTITUTION

Stamp
Approval ZIMSEC Regional Manager

Approved Not Approved

Comment

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

Date ………………………………………………………………….
Signed
Regional Manager (ZIMSEC)
Stamp