Personal Details

Surname

Given Name

Home Address

Home Telephone

Mobile Phone

Email Address

Present Position:

Name of school/office at which you are currently employed

Address

Address for communication with respect to this application

VIT Registration Number and VIT Registration type

Accreditation to teach in a Catholic School / Accreditation to teach RE

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

Referees

Please provide the names and contact details of two people who have consented to act as referees and who have been approached to provide verbal references. One of your referees must be a Principal (or equivalent). Please note that the Principal of Emmanuel College reserves the right to contact persons not nominated by the applicant. Applicants will be advised prior to a listed referee being contacted.

Referee 1

Name

Position

Location

Phone

Mobile

Referee 2

Name

Position

Location

Phone

Mobile

Qualifications

Tertiary Education Qualifications (including those for Religious Education)

Qualification 1

Course title

Institution

Year completed

Qualification 2

Course title

Institution

Year completed

Qualification 3

Course title

Institution

Year completed

Qualification 4

Course title

Institution

Year completed

Please attach copies of academic transcripts.

Other Qualifications

First Aid

CPR

Anaphylaxis

Mandatory Reporting

Please upload a copy of all qualifications ticked above

Application and Selection Documentation

Please upload copies of your:

Covering letter

Resume

Key Selection Criteria

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.

Signature

Date

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