APPLICATION FORM
Personal Details
Mr Mrs Ms Dr Other/Pls. Gender Male
Title : indicate Female
✘ : ✘
Full Name (as per Ghazala Shaheen Muhammad Ayaz
passport) :
Preferred Name: Ghazala
Liwa Oasis 2, Dubai Silicon Oasis, Dubai , UAE
Current Address :
Home : 058-8228990
Contact Telephone
Number : Mobile : 055-1487870
Work :
E-Mail Address: Shaheenghazala74@gmail.com
☐ Sponsored by Employer ✘ Sponsored by
UAE Visa Status: Spouse/Father
Own visa (business/golden visa) New to UAE (no previous
UAE
Married Single Divorced Separated
Marital Status: Engaged
✘
Date of Birth
_____27___/___03____/___1982_______
(dd/mm/yyyy):
Age: 42 Nationality: Pakistan
Details of Higher Education
Institution: University of Sargodha
Date Attended: From: 2006 To: 2008
Subjects Studied: Islamic Studies
1
Qualifications Masters in Islamic Studies
Obtained:
Class of Degree:
Post graduate
Institution: University of Peshawar
Date Attended: From: 2001 To: 2003
Subjects Studied: Islamiyat, Botany, zoology, chemistry
2
Qualifications Bachelors
Obtained:
Class of Degree: Graduate(2003)
Institution: University of Peshawar
3
Date Attended: From : 1999 To: 2001
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Subjects Studied: Islamiyat, Botany, zoology, chemistry
Qualifications
Obtained: Higher secondary
Class of Degree: High school diploma
Details of Teaching Qualification
Institution: Sheikh Zayed University Dubai
Dates Attended: From : 2017 To: 2017
Subjects: Islamic B
1 Qualifications: KHDA qualification approval
Date Qualified : 2017
Qualified Teacher
Reference Number:
Institution: Ministry Of Education
Dates Attended: From : 2021 To: Click here to enter a date.
Subjects: pedagogy
2
Qualifications: Teaching license
Date Qualified: 2021
Qualified Teacher
TR-2022-T-09-027528
Reference Number:
Details of relevant professional courses attended in last 5 years
Course Attended: First aid
Date of From: 2022 To: Click here to enter a date.
1 Course/Training:
Details:
Course Attended: Fire and safety
Date of From: 2023 To: Click here to enter a date.
2 Course/Training:
Details:
Course Attended: Differentiation
Date of From: 2018 To: Click here to enter a date.
3 Course/Training:
Held in American University
Details:
Course Attended: 6 Mandatory professional development courses for
educators.
Date of From: 1-Jun-18 To: 30-May-19
4 Course/Training:
Held by Tellal Professional and Management Development
Details: Training
Present Employment
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Company/School
Name:
Position:
City and Country:
Date of Employment: From: To:
Please Confirm:
Current Monthly Salary
Current Notice (excluding housing and
none none
Period: responsibility
allowances):
Additional Responsibility Allowance Amount:
Benefits Housing provided by school/company Yes/No
(Pl tick relevant Housing Allowance Amount:
benefits and Other Allowance (not included in Monthly Salary) Amount:
Medical Insurance benefits For self / For self and dependents
provide amounts)
Annual Flight Tickets/Allowance For self / For self and dependents
:
Previous Employment: (Most recent first. Please explain any periods of unemployment)
Company/School Gems World Academy
Name:
Position: Islamic B cover teacher
Country: United Arab Emirates
1
Date of Employment: From: 5-Mar-24 To: 5-Jul-24
Reason for Leaving: Cover teacher contract
Company/School Gems Wellington Academy, Al Khail
Name:
Position: Islamic B teacher
Country: United Arab Emirates
2
Date of Employment: From: 17-Aug-23 To: 8-Dec-23
Reason for Leaving: Masters’ assessment
Company/School Gems First point School
Name:
Position: Islamic B teacher
Country: United Arab Emirates
3
Date of Employment: From: 23-Oct-16 To: 5-Jul-23
Reason for Leaving: Job in Wellington Academy Al Khail
Company/School Gems Wellington Primary
Name:
Position: Islamic B cover teacher
Country: UAE
4
Date of Employment: From: 1-Sep-14 To: 15-Jun-24
Reason for Leaving: Cover teacher contract
5 Company/School
Name:
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Position:
Country: Choose an item.
Date of Employment: From: Click here to enter a date. To:
Click here to enter a date.
Reason for Leaving:
Company/School
Name:
Position:
Country: Choose an item.
6
Date of Employment: From: Click here to enter a date. To:
Click here to enter a date.
Reason for Leaving:
Please summarise any interests or personal significant achievements
I have honed exceptional communication, interpersonal, organizational, time
management and leadership abilities. I have gained proficiency in developing
detailed lesson plans, promote interdisciplinary learning, personalized teaching
approaches, managing behaviour issues and keeping students organized. I have
also learnt to develop the challenges of distance learning which included working
on many apps in order to teach the students and assess their performance.
Health / Absence from Work
How many days have you taken off work through illness in the
none
last 3 years?
Please give details of the above:
Any ongoing medical conditions or operations pending. YES ✘ NO
If ‘Yes’, please give details of the above:
Are there any other underlying reasons why you would not be YES ✘ NO
able to fulfil your professional responsibilities to the full?
If ‘Yes’, please give details of the above:
Disciplinary Issues
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Have you ever been subject to disciplinary proceedings where
the disciplinary sanction is still current or where proceedings YES ✘ NO
are ongoing?
If ‘Yes’, please provide details:
Pre-booked holidays
Please declare any in-term holidays/time off booked for the
current (if applicable) or next academic year.
Please include the below details for your spouse and dependent children
DOB If under 18 Current Year
Name Relationship
group /Grade
Muhammad Ayaz Husband dd/mm/yyyy
Fatima Ayaz Daughter 4/7/2008 Year 12
Khadija Ayaz Daughter 21/7/2016 Grade 2
Please confirm if your child/children YES ✘ NO
currently attend(s) JESS
Referees: Please give details of two (2) professional referees. (For teaching staff
one of the referees must be from your current Headteacher or School Principal.)
Name: Abdulbasit Habbach
Position: Head of Department
1 Address: Gems First Point School
Telephone: +971 50 760 3468
E-mail : a.habbach79@gmail.com
Name: Waseem Alawneh
Position: Head of Department
2 Address: Gems World Academy
Telephone: +971 50 789 9239
E-mail : alawnehw@hotmail.com
✘ It is a school policy to take up references prior to interview. I confirm JESS may
contact the referees above prior to interview.
Signature:
Date: 22-Aug-24
Please do not contact my referees prior to interview. Please inform me first.
Signature: Date: Click here to enter a date.
Rehabilitation of Offenders Act 1974 (exceptions) order 1975
Because of the nature of the work for which you are applying, this post is exempt from the
provisions of Section 4(2) of the UK Act. Applicants are therefore not entitled to withhold
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information about convictions which, for other purposes, are "spent" under the provisions of
the Act. Any information provided will be completely confidential and will be considered only
in relation to an application for positions to which the Order applies. Failure to disclose such
convictions could result in dismissal or disciplinary action by Jumeirah English Speaking
School.
Date of last CRB check (or equivalent) 28-Jun-24
:
Good conduct certificate UAE Police
2024-129553\0111010000
Reference No:
Have you ever been arrested? YES ✘ NO
Have you had any criminal
YES ✘ NO
convictions?
If ‘Yes’, Please provide details:
I give permission and authorisation for Jumeirah English Speaking School to contact the
relevant Police Authorities for the purposes of obtaining information from their records
regarding any past convictions, including spent convictions. I declare that the information
provided on this form, and on any accompanying documents, is true to the best of my
knowledge and belief.
Signature :
Date : Click here to enter a date.
Declaration: Please read carefully before signing
I declare that the information given in this form is true and accurate and I
understand that any offer of employment which may be made to me by JESS is
subject to this declaration.
Signature: Date: Click here to enter a date.
Thank you for your interest in Jumeirah English Speaking School.
Self-disclosure Form
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For completion by the candidate
If the role you are in or have applied for involves frequent or regular contact with or
responsibility for children, you will also be required to provide a valid DBS (Disclosure and
Barring Service) certificate, which will provide details of criminal convictions. This may also
include a barred list check depending on the nature of the role (see organisational guidance
about eligibility for DBS checks). All information you provide will be treated as confidential
and managed in accordance with relevant data protection legislation and guidance. You
have a right of access to information held on you under the Data Protection Act 1998.
Have you ever been known to any children’s services
YES ✘ NO
department or to the police as being a risk or potential risk to
children?
If yes, please provide further information:
Have you been the subject of any disciplinary investigation
and/or sanction by any organisation due to concerns about your YES ✘ NO
behaviour towards children?
If yes, please provide further information:
Do you have any convictions, cautions, reprimands or final
warnings that are not “protected” as defined by the YES ✘ NO
Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975
(Amended) 2013?
If yes, please provide further information:
Confirmation of declaration (tick box below)
I agree that the information provided here may be processed in connection with recruitment
purposes and I understand that an offer of employment may be withdrawn, or disciplinary
☒ action may be taken if information is not disclosed by me and subsequently come to the
school’s attention.
In accordance with the school’s procedures, if required, I agree to provide a valid DBS
☒ certificate and consent to the school clarifying any information provided on the disclosure with
the agencies providing it.
I confirm that there is no information in the public domain or on social media that could bring
☒ my name or the school’s name into disrepute.
I agree to inform the school within 24 hours if I am subsequently investigated by any agency or
☒ organisation in relation to concerns about my behaviour towards children or young people.
I understand that the information contained on this form, the results of the DBS check and
☒ information supplied by third parties may be supplied by the school to other persons or organisations
in circumstances where this is considered necessary to safeguard children.
Signature of
Candidate:
Print Name: Ghazala Shaheen
Date: 22-Aug-24
Updated: Jun 2022
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