NATIONAL TEACHER DATA

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* 1. Teacher Profile

Name
School
Address
City/Town
District
Region
Country
Email Address
Phone Number

OK

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* 2. Date of birth

Date 
DD/MM/YYYY

OK

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* 3. Marital Status

Single
Married
Divorced

OK

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 * 4. Sex

Male
Female

OK

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* 5. Highest Academic Qualification

OK

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* 6. Year of completion of highest professional qualification

OK

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* 7. Programme of Study

OK

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* 8. Major subject(s) for academic course work

OK

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* 9. Professional teaching qualification (select all that apply)

Teacher certificate 'A'

Diploma in Education
Diploma in Basic Education
Diploma in Early Childhood Education
Bachelor in Education
Post Graduate Diploma in Education
Master of Education
Master of Philosophy in Education
Doctor of Education
Doctor of Philosophy in Education
Other (please specify)

OK

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 * 10. State area of specialization of your professional course

Certificate 'A'
Diploma in Education

Diploma in Basic Education

Diploma in Early Childhood Education

Bachelor of Education

Master of Education

Master of Philosophy in Education

Post Graduate Diploma in Education

Doctor of Education

Doctor of Philosophy in Education

Other

OK

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* 11. Which educational level are you currently teaching?

Preschool
Kindergarten
Lower primary
Upper primary
Junior High School
Senior High School
Technical/Vocational

OK

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 * 12. Employment category

Full time
National Service
Youth Employment
Volunteer Teacher
Part time
District Assembly/NGO/FBO/other
NABCO

OK

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* 13. Select the type of teacher applicable to you

Head Teacher
Headmaster
Assistant Head teacher
Assistant Head Master
Class teacher
Teacher attendant
Arabic Instructor
Craft instructor
Guidance and Counselling Coordinator
Special Education Coordinator
Physical Education Teacher
Subject Master
Teacher in Administration

OK

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* 14. Staff ID Number

OK

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 * 15. Teacher Registered Number

OK

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* 16. Place of birth

OK

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* 17. Language(s) spoken

Asante Twi
Akuapem Twi
Dagbani
Dangme
Ga
Nzema
Gonja
Dagaari
Guruni
Kasime
Ewe
Fanti
Other (please specify)

OK

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 * 18. Emergency contact

OK

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* 19. Social Security Number

OK

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* 20. Tax identification (TIN) number 

OK

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* 21. Disability status (if any)

Physical disability
Visual impairment
Hearing impairment
Multiple
Deaf/Dumb
Other (please specify)

OK

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 * 22. What subject(s) are you currently teaching

OK

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* 23. Date of first appointment in the teaching field

Date / Time
DD/MM/YYYY

OK

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 * 24. What is your current rank?

Director I
Director II
Deputy Director
Principal Superintendent Professional
Senior Superintendent I Professional
Senior Superintendent II Professional
Superintendent I Professional
Superintendent II Professional
Pupil Teacher WASSCE/GCE "A" Level
Assistant Director II Non-Professional
Principal Superintendent Non-Professional
Assistant Director II Non Professional
Principal Superintendent Non Professional
Senior Supt. I Non-Professional
Senior Supt. II Non-Professional
Supervisor Instructor
Principal Technical Instructor
Superintendent I Non-Professional
Senior Technical Instructor
Technical Instructor I
Superintendent II Non-Professional
Technical Instructor II
Senior Craft Instructor
Trainee Teacher
Craft Instructor
Pupil Teacher GCE O Level

OK

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 * 25. Other duties

Senior Housemaster/mistress
Housemaster/mistress
Form Master
Guidance and Counselling Coordinator
Sports Master/Teacher
Music and Culture master
SMC/PTA Secretary
Chaplain/Imama
Library Master/Teacher

OK

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* 26. Why did you chose teaching as a career?

OK

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* 27. Will you recommend the teaching profession to your

colleagues or any of your family members?

Yes
No

OK

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* 28. Provide reasons for your answer to question 26

OK
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* 29. State your employment history (start with current

employment/posting)

EMPLOYMENT 1
Name of school
City/Town
Number of years served

EMPLOYMENT 2
Name of school/Office

City/Town
Number of years served

EMPLOYMENT 3
Name of school/office

City/Town
EMPLOYMENT 4
Name of school/office

City/Town
Number of years served

OK

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* 30. Data of posted to present school/office

Date / Time
DD/MM/YYYY

OK

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 * 31. Who pays your salary?

Ministry of Education
Ministry of Employment and Labor Relations
District Assembly
National Service Secretariat
Other Ministries
Employer
NGO/FBO/Private
SMC/PTA
Other (please specify)

OK

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* 32. The highest teacher training institution attended with date

Name of  institution

City/Town
Country

OK

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* 33. Dates of highest teacher training institution attended

Date Attended
DD/MM/YYYY
Date Completed
DD/MM/YYYY

OK

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 * 34. Are you licensed teacher?

Yes
No

OK

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* 35. Teacher License Number

OK

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* 36. License type

Provisional License
Professional License

OK

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* 37. Date of issue of initial license

Date / Time
DD/MM/YYYY

OK
DONE
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