Personal Details

Surname

First Name

Residential Address

Postal Address

Mobile Phone

Phone

Email Address

Current Position

Role

Employer

Length of Time in Role

Proof of Identity

Please attach a copy of your photo identification, for example a Driver’s Licence or a Passport.

Proof of Identity

For International Applicants

I have the right to work in Australia

Please attach copy of this authority

Working With Children Check

WWC Have (please provide details)Able to Apply

Number

WWC Expiry Date

National Police Check

NPC Have (please provide details)Able to Apply

NPC Number

NPC Expiry Date

Relevant Qualifications

Qualification

Institution

Year completed

Qualification

Institution

Year Completed

Qualification

Institution

Year Completed

Qualification

Institution

Year Completed

Other Qualifications

First Aid

CPR

Anaphylaxis

Mandatory Reporting

Please upload a copy of all qualifications ticked above

Other Relevant Experience

Year

Position Held

Description of Experience

Year

Position held

Description of Experience

Year

Position held

Description of Experience

Year

Position held

Description of Experience

Other Activities that might support your application

Recent professional development (in the past 3 years)

Participation in Associations and outside bodies for academic or non-academic achievements

Community and recreational pursuits

Other

Application and Selection Documentation

Please upload copies of your:

Covering letter

Resume

Key Selection Criteria

Referees

Please provide details of three referees from your current and prior employers, preferably from your direct manager:

Referee 1

Name

Position

Relationship

Address

Telephone

Mobile Number

Referee 2

Name

Position

Relationship

Address

Telephone

Mobile Number

Child Safety Pre-Employment Disclosure

It is an inherent requirement of the position that you be a person suitable to work in child-connected work. Each of the following questions are relevant to help us understand and determine your likely ability to carry out the inherent requirements of the advertised position. You must answer each question.

1. Have you ever had any disciplinary action taken against you by an employer (e.g. received a warning or had your employment terminated) in relation to any inappropriate or unprofessional conduct? YesNo

disciplinary Textarea

2. Have you ever been the subject of an allegation of inappropriate or unprofessional conduct which has been substantiated by an employer or other body? YesNo

allegation textarea

3. Have you ever been found guilty of a criminal offence or are you currently facing criminal charges? YesNo

Guilty Textarea

4. Do you consent to the prospective employer contacting the appropriate person at any or all of your current or former employers (including any retired person who at the relevant time may have been employed by a former employer) to confirm the accuracy of your answers in questions 1–3 above and to ask about your suitability to work with children?

If no, this will be discussed further if you are offered an interview

YesNo

I declare that the contents of this form are true and correct.

I understand that any wilfully incorrect or misleading answer or material omission which relates to any of the questions in this form may make me ineligible for employment, or if employed, liable to disciplinary action which may include dismissal.

I consent to Emmanuel College making inquiries of any current and/or previous employers in connection to the information and answers I have provided in this form to verify the accuracy of the information in this form and to confirm my ability to carry out the inherent requirements of the position including my suitability to perform child-connected work. I understand and accept that my appointment to this position requires compliance with the school’s child-safe policy and code of conduct. I will read and understand the school’s child-safe policy and code of conduct when available.

Signed

Date

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