7/27/2019 SNE_Diploma_Application__Form.pdf

1/4

REPUBLIC OF KENYA

MINISTRY OF EDUCATIONRECRUITMENT OF SNE DTPLOMA FULL TIME IN-SERVICE COURSE AT THE KEI{YATNSTITUTE OF SPECIAL EDUCATTON {KISE} FOR THE YEAR 2OL2.All serving TSC teachers rvrshing to be considered for admission to KISE for the t'"vo year fulltime SNE Diploma in sen'ice course are informed that application forms are now available andcan either be dow'n Loaciecl from the N{inistrl'of Education Website r.i,rvr,i,,.education.go_ke. orfrom the nearest DEO's iX{EO's offlces. Dul-v completed application forms must be submrtteclpersonally b.v the arpplrcant through the DEO's /MEO's by lBmJune,2AL2.REQUIREMENTS FOR ADMISSION:

i) Serving TSC teachers for at least five yearsii) Holders of P[ certificate or above or its equivalentiir) F{ave obtained KSCE mean grade C or its equivalent and above.iv) Belorv 50 r'ears of age at the time of registration.i-) Be Kenr,'an citrzcn

2. Dach applicant u'ill be required to present in person during the registration thefolloi,ving clocuments :i) Duly filled appiication forms in own handr,vriting (except for Visually impairedapplicants)ii) original ancl certilled copies of academic certificate(s)iii) Originai and certified copy of the letter of appointment by the TSCiv) Original and certilied copy of professional teacher training certificatev) Original and certified cop), of National ldentity Card {both sicies) or passport.vil Coloured passport size photograph taken within the last three months.vii) Original and certilied copies of other relevant testimonials.NBAftlrmative consicierations r,vill be given to persons '"vith disabilities registered r,vith the Nationalcouncii of Persons rvith Disabilities(in accordance r,vith the Disabilitv Act 2003) rvho meetrequirements I {i) (ii) & (") but r,vith the mean grade ol C- or KCE Division Three.

Admission letters for the successfulapplicant is currentlv depioved by theThe regtstration exercise is conductecicanclidates r,vill be dispatched to the school rvhere theTSC"free of charge.

MARGARET OKEMO

7/27/2019 SNE_Diploma_Application__Form.pdf

2/4

MINISTRY OF EDUCATIONMOE/DrP SNE/KrSE/AADMISSION APPLICATION FOR THE YEAR 2OT2FULL TIME SNE DIPLOMA COURSE AT KENYA INSTITUTE OF SPECIAL EDUCATION

Please fill this form in your own handwriting. Submit the duly completed application form in person toyour local DEO/MEO for registration. Bring along with you original and photocopies of yource rtificates a nd testi monia ls for registratio n.1. PERSONAL DETAILSi) SURNAME.......... . MIDDLENAME..... ..LAST NAME....tD NO.....ll) County ...District (Current Residence)iii) Current address

b. Phone number(s)............ Email......(iv) Current school ...........District........(V) TCS No/Personal Number............vi) Date of first appointment by the TSC..vii) a)Date of birth: Day.....................Month....... Year.......

b) Male/Female (Please Tick).

7/27/2019 SNE_Diploma_Application__Form.pdf

3/4

2.(il Are you a person living with disability? Yes/No(Please Tick)(ii) lf yes, indicate the type of disability..........

(Attach copy of registration with NCPWD)3. Academic Qualification....KcPE/KCSE/KCE/KACE (Please tick)...(i) Year of Exam.(ii) Diploma ECDE lPllDiplomalsllGraduate (Please tick)4. Professional qualifications..... Division/Mean Grade...........'..........Name of College/U niversity...............................Year of Graduation........

! 5. Tclching Expc rience(i) Number of years in service as a trained teacher.....(ii) Number of years/months in teaching/supporting children with disabilities/Special needs education

(i) list the disabilities/SNE supported.a)...........................b)..........................c)...........................

6. courses/seminars attendedTYPE OF COURSE DURATION VENUE

ln service courses (3-6)monthsShortcou rses/se m i na rs/wo rks ho Pless than 3 months

7/27/2019 SNE_Diploma_Application__Form.pdf

4/4

8. ACCOMMONDATIONwhat accommodation will you need? please Tick the retevant box.

.\-

MakeownArrangementsforatleastfirst3months[rlsrtoprovidPhysical accessible rooms and facilities9. STUDY AREA OF SPECIALIZATIONFrom the following areas offered in the year 20L2, (1. MENTAL DlsABtLlTtEs, 2 pHystcAL HANDtCAp;3. VISUAL IMPAIREMENT; 4. HEARING IMPAIRMENT; 5. DEAFBLIND; 6. EMOTTONAL ANDBEHAVIOURAL DIFFICULTIES - EBD;) Please indicate your preference below:

(ii) 1't preference.......(iii) 2nd preference......(iv) 3'd preference.......SIGNATURE OF APPLICANT...........DATE .......,....i...10) For the DEO/MEORecommendation by the panel.Name..... ........Signature....................Officia1 Stamp