- Laws of Fiji

Last Updated: 1 December 2016

[FTR 10,327] FTRB 2 APPLICATION FOR FULL REGISTRATION

FIJI TEACHERS’ REGISTRATION BOARD
MINISTRY OF EDUCATION, NATIONAL HERITAGE CULTURE
AND ARTS

Level 4 Harm Bing Narm Building Brewster Street, Toorak Private Mail Bag. Suva, Fiji				Phone: (679) 3100125 3100119 3311175
				Fax: (679) 31001655
FTRB2			APPLICATION FOR FULL REGISTRATION

1.	PERSONAL DETAILS
					Photo
	Family Name:___________________________________________
	Given Name:____________________________________________
	Title eg Ms/Mr/Mrs/Miss:________________________ Male □ Female □
	Date of Birth:_______________ TPF/EDP_____________
	Place of Birth:___________________ Country:_________________
	Postal Address:__________________________________________
	Residential Address:_______________________________________
	Section: Primary □ Secondary □ Other □

	Contact Details
	Telephone (W)
	Telephone (H)
	Mobile
	E-mail

2.	PAYMENT DETAILS
	Please note the following—
	•	Registration is or a calendar year — 1 January to 31 December. There is no pro rata rate for part year.
	•	The registration fee of $30 must be paid before your application can be processed and lodgement fee of $10.
	•	Payments may be made to cover a minimum one calendar year period to a maximum 3 calendar year period.
	•	Cash can be made payable to cashiers located at Lautoka, Ba, Rakiraki, Nausori, Sigatoka, Savusavu and Labasa Education Office, Headquarters Marela House, Bucalevu Secondary School, Vunisea Secondary, Fiji College of Advanced Education and Levuka Public Secondary School. However, should you wish to send your forms direct to Headquarters, you need to make payments using bank draft, bank-cheque or TMO.
	•	For application lodged from overseas, payment must be in Fiji dollars.

Please tick appropriate box(es)	2009	2010	2011	2012	2013	2014
Registration required for year(s)

Payment amount: $________________ for □ years (please specify number of years).

Payment total: $_______________FTRB Trust Account No:______________

Receipt No:________________ Post Office Payment Made:_____________

	3.	CURRENT SCHOOL APPOINTMENT
		Name of School/Institution:_______________________________________
		Commencement date:______________________________________________
		Full-time □ Part-time □ Reliever □
		Nature of appointment if not classroom teacher:________________________

4.	EDUCATION
	Tertiary Teaching/Non Teaching and Professional Development Qualifications: Certificates/Diploma/Certificates of Participation/Degrees etc [Please attach Certified True Copies or if original copies it will be returned after processing]

	Name of Course	Institution	Country	Years/months of completion/ participation	Remarks

5.	RECORDS OF TEACHING SERVICE
	Position	School/Institution Employing Authority	Country	Full-time/ Part-time	Date From	Date To

6.	MEDICAL CLEARANCE FORM
	•	All Existing Teachers to fill the Medical Clearance Form provided by the Fiji Teachers Registration Board.
	•	All new teachers are to provide a full Medical Clearance from a Medical Officer of their choice.

7.	GOOD CHARACTER CHECK FORM
	•	All existing teachers are to complete the Character Check Form and attach it with the application form.
	•	New teachers to get Police Clearance by filling the Clearance Form from the Police Department and pay $22.50 to Police Head Quarters.
	The following person(s) are recommended to provide supporting endorsement: Registered Teacher, Registered Church Minister, Registered Pundit or Registered Molvi, Registered Pastor, current sitting or retired Magistrates and Judges.

8.	PERMISSION TO RELEASE INFORMATION
	(a)	I hereby authorise the Teachers Registration Board or its delegates to make enquiries and exchange information with any Teacher Registration Authority, employer/relevant institution concerning my registration to teach or other related matters.
	(b)	I also give my consent and permission if relevant for the Teacher Registration Board or its delegates to access my academic records.

	Signature of Applicant:_____________________________
	Date:___________________________________________

9.	DECLARATION
	(i)	Have you ever had your registration, licensing or status as a teacher or any other entitlement to teach cancelled or suspended or withdrawn in Fiji or in any other country?	Yes □ No □
	(ii)	Have you ever been refused registration, or licensing as a teacher in Fiji or in any other country?	Yes □ No □
	(iii)	Have you ever been dismissed from a teaching position in Fiji or any other country?	Yes □ No □
	(iv)	Have you ever been, or are you currently, the subject of disciplinary proceedings, or any other action that might lead to such proceedings, in relation to your employment in Fiji or in any other country?	Yes □ No □
	(v)	Have you ever been convicted or found guilty of any offence?	Yes □ No □
	(vi)	Have you ever been charged with any offence, whether or not you have been found guilty?	Yes □ No □
	(vii)	Are there any charges in relation to any offence pending?	Yes □ No □

I,______________________________________________________________
(full name of applicant)
of,_____________________________________________________________
(full address of applicant)
declare that I have completed and read this application for Registration form and that the information I have provided is true and correct. I acknowledge that a person making a false declaration is liable on conviction to a fine not exceeding $20,000 or to imprisonment for a term not exceeding 5 years (Fiji Teachers Registration Act 2008).

Declared by_____________________________ at________________
(Signature of applicant) (Place)
This_______________ day of__________________________
(Day) (Month and year)
before me_________________________________________________
(Full name of witness)
Signed______________________		Phone (H)__________
(Signature of witness)		Phone (W)__________
		Mobile___________
(To be witnessed by one of the following: Justice of the Peace/Commissioner for Oaths/Education Officer)

10.	(a) Principals/Head Teachers Recommendations
		Yes	No
	This teacher has participated in the inspection programme as required by the Teacher Registration Board	□	□
	I have appraised this teacher in accordance to the satisfactory Teacher Dimension	□	□
	I fully recommend that this teacher be given full Registration in Fiji of his/her satisfactory performance	□	□
	If you believe that the applicant does not fulfil the criteria then fully recommend and discuss with the applicant that he/she needs to complete further supervised teaching (Please Tick No). Please inform the Secretariat of the Teacher Registration Board accordingly.	□	□

(b) Satisfactory Teacher Dimension

A satisfactory teacher in practice	This teacher’s performance is
Professional Knowledge
Demonstrate knowledge of
• Current curricula the subjects being taught and current learning theory	□ Satisfactory □ Not Satisfactory
• The iTaukei/Hindu/Muslim and other cultures in Fiji	□ Satisfactory □ Not Satisfactory
• The characteristics and progress of their students	□ Satisfactory □ Not Satisfactory
• Appropriate teaching objectives	□ Satisfactory □ Not Satisfactory
• Appropriate technology and resources	□ Satisfactory □ Not Satisfactory
• Appropriate learning activities programme and assessment	□ Satisfactory □ Not Satisfactory
Professional practice — Learning Environment
• Creates an environment of respect and understanding	□ Satisfactory □ Not Satisfactory
• Establishes high expectations which value and promote learning	□ Satisfactory □ Not Satisfactory
• Establishes student learning processes	□ Satisfactory □ Not Satisfactory
• Manages student behaviour positively	□ Satisfactory □ Not Satisfactory
• Organises a safe physical environment	□ Satisfactory □ Not Satisfactory
Professional Practice — Teaching
• Communicates clearly and accurately in English and/or iTaukei, Hindi, Urdu	□ Satisfactory □ Not Satisfactory
• Uses a range of teaching approaches	□ Satisfactory □ Not Satisfactory
• Engages students in learning	□ Satisfactory □ Not Satisfactory
• Provides feedback to students and assesses learning	□ Satisfactory □ Not Satisfactory
• Demonstrates flexibility and responsiveness	□ Satisfactory □ Not Satisfactory
Professional Relationship
• Reflects on teaching with a view to improvement	□ Satisfactory □ Not Satisfactory
• Maintains accurate records	□ Satisfactory □ Not Satisfactory
• Communicates with families parents and guardians	□ Satisfactory □ Not Satisfactory
• Contributes to the life of the school/college	□ Satisfactory □ Not Satisfactory
• Develops professionally	□ Satisfactory □ Not Satisfactory
• Maintains confidentially, trust and respect	□ Satisfactory □ Not Satisfactory
Professional Leadership
• Demonstrates flexibility and adaptability	□ Satisfactory □ Not Satisfactory
• Focuses on teaching and learning	□ Satisfactory □ Not Satisfactory
• Leads and supports other teachers	□ Satisfactory □ Not Satisfactory
• Displays ethical behaviour and responsibility	□ Satisfactory □ Not Satisfactory
• Recongnises and supports diversity among groups and individuals	□ Satisfactory □ Not Satisfactory
• Encourages others and participants in professional development	□ Satisfactory □ Not Satisfactory
• Manages resources safely and effectively	□ Satisfactory □ Not Satisfactory

11.	PRINCIPAL/HEAD TEACHER DETAILS
	Full Name:_________________________________________________________
	Designation:________________________________________________________
	School Stamp:_____________________________________________________
	Registration Number:________________________________________________
	School:_____________________________________________________________
	Signature:___________________ Date signed:___________________________

	MINISTRY OF EDUCATION APPROVALS
	(EO, SEO, DEO, DPE, DSE)

	I fully endorse/do not endorse the Principal’s recommendation that the teacher be given/not given full Registration.

	Name:_____________________________________________________________
	Designation:________________________________________________________
	Registration Number:_________________________________________________
	Signature:____________________ Date signed:___________________________


	Ministry of Education

	Stamp

This is your CHECKLIST — please use it to ensure that you have completed all the entries in your application form. Plaese tick

	APPLICANT	OFFICE USE ONLY
1. Have you completed the form in full	□	□
2. Have you attached documentary evidence of true copy	□	□
• Birth Certificates	□	□
• Academic Records/Professional Development undertaken	□	□
• Full Medical Report — New Teachers	□	□
• Medical Clearance Form — Existing Teachers	□	□
• Character Check Form — existing teachers	□	□
• Police Clearance — new teachers	□	□
3. Have you had these documents certified as True and Accurate copies of the originals on every page by an authorised person.	□	□
4. Have you signed the permission to release information statement	□	□
5. Have you signed the Declaration Section	□	□
6. Has the declaration section been witnessed	□	□
7. Have you attached the Fee Payment receipt with the paid stamp	□	□