B043 (04/2007)

Job Competition Application - External

Calgary Board of Education Support Staffing
Email or FAX applications quoting competition number
For use by EXTERNAL APPLICANTS
CONFIDENTIAL WHEN COMPLETED

PERSONAL INFORMATION COMPETITION INFORMATION

Surname Legal First Name Competition Number

Khanum Munazza 09-0200

Middle Name Preferred Name Mr/Mrs/Miss/ Name of Position:

            EDUCATION ASSISTANT, SPECIAL
      EDUCATION
Address City, Province, Postal Code Location of Position:
2419 39th Street NE Calgary, AB, TiY 3K9 Pineridge School , 1927 61 Street NE

Current Home Telephone Alternate/cell Telephone Own Transportation Area of City Preferred:
Number (403)568-9044 Number (403)671-4001 Yes No NW NE SW SE
Do you have any a relative/spouse/partner in the department or school in which this position exists: Yes No
If yes, please indicate Name(s):     
Have you previously applied with the C.B.E? Yes No Standard First Aid/CPR: Yes No
If Yes, date applied:       Therapeutic Crisis Intervention: Yes No
Have you previously worked with the C.B.E.? Yes No Expiry:      
If Yes, indicate date from 2009/02/17 to 2009/03/19 Where taken:     
Under what name: Munazza Khanum Are you bondable? Yes No
Under what Employee Number:201933 Are you legally entitled to work in Canada? Yes No
Languages Spoken/Written: English French If yes: Canadian Citizen Landed Immigrant Work Visa
Other Urdu, Punjabi
Describe the reason for your interest in this position:
I am a temporary employee with CBE since January, 2009. I am currently working as a subtitute in Roland Michener Elementry since February 17,
2009. March 31, 2009 is my last day at that school. I want to apply for this position because I like to stay in one school. Pineridge School is also close
to my house.

State career objectives:

Desire a challenging position as an Educational Assistant in a reputable school of Calgary Board of Education.

EDUCATIONAL BACKGROUND
Educational Data Name of Institute Highest Grade Passed, Specialization
Certificate/Diploma/Degree
High School                  
Technical School                  
College Bow Valley College Calgary Education Assistant      
University Punjab University Lahore, Pakistan BA, B.Ed      
Post Graduate                  
Other                  
HR USE ONLY: Testing Scores Excel Access
CPR/First Aid Therapeutic Crisis Intervention Typing ________ wpm _________ errors _____ ______

WORD WINDOWS Pwrpt Bkpg

_____ Basic / _____ Int / _____ Adv / _____ Final ____ Basic / _____ Int / ____ Adv / ____ Final ______ ______

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NAME:Munazza Khanum Competition No.09-0200
RECENT WORK EXPERIENCE
(Starting with most recent position)

Company: Position Held: Supervisor: Date from: Date to:

Mo. / Yr. Mo. / Yr.
Roland Michener Elementry Educational Assistant Mike Hebenton 02 2009 03 2009
Shell Canada Assistant Manager Mohammad Shabbir 07 2006 03 2008
                                     
                                     
                                     
BUSINESS REFERENCES
Applicants are required to provide the names of three people whom we may contact by telephone.
Name: Relationship: Position: Telephone No. (include area code)
Mike Hebenton supervisor principal ( 403) 777-8240
Dana Widdifield Teacher Teacher (403) 777-8240
                  (   )      
List or describe any additional job related skills, experiences, languages (spoken or written), training, volunteer
work, hobbies and qualifications that would support your application.
- Computer including, Microsoft Word, Excel, and Powepoint.
- Languages, English, Urdu, Punjabi

CRIMINAL DECLARATION OF OFFENCE(S)

Have you ever been convicted, or found guilty, of a Criminal Offence under the Criminal Code of Canada or in any other Country for
which a pardon has not been granted? Please check one: Yes No
If yes, indicate the charge in space below:

Nature Of Conviction: Date Of Offence: Country/Province

                 
                 
                 

Please Note: The Calgary Board of Education Policy 4027.4 requires that as a condition of employment all applicants who are offered
employment are required to provide a Police Security Clearance before employment is confirmed. DO NOT OBTAIN A SECURITY
CLEARANCE ON BEHALF OF YOUR APPLICATION UNTIL AN OFFER OF EMPLOYMENT IS MADE BY the Calgary Board of
Education. The cost of the Security Clearance will be at the applicant’s expense.
MEDICAL DECLARATION
I agree to have a medical examination should I be offered employment with the Calgary Board of Education as required. (Permanent
status may require the passing of Medical and X-Ray examinations). Subsequently, I agree to participate in regular examinations as
required by the Board.
I certify the information contained on this form is accurate and complete and agree to abide by all policies and regulations as
set by the Board:

March 25, 2009

Applicant’s Signature Applicant’s Name (please print) Date
Save Completed Application and Attach to Email Quoting Competition to
CBE.SupportStaffing@TELUS.com OR
FAX COMPLETED APPLICATION TO 1-866-465-8547.
Resumes will be accepted only if accompanied by completed application.
(Please keep a copy of your Job Competition Application for your own records)
This personal information on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy
Act for the purpose of recruitment and Talent Referral Program administration. If you require further information regarding the
collection and use of ths information, please contact an HR Advisor in Talent Management & Sourcing at (403) 294-8177.

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