APPLICATION FOR EMPLOYMENT

1. APPLICANT PERSONAL DETAILS

Position applying for

Employment Type

Title & Surname

Given Name/s

Previous Surname

Street Address

Suburb Post Code

Postal Address (If different from above)

Home Phone

Mobile Phone

Email

Work Rights

Are you legally entitled to work in Australia? Yes No

Are you an Australian citizen or permanent resident of Australia? Yes No

If not an Australian Citizen/Permanent Resident, please give details of your current Visa

Visa Type Expiry Date

On offer of employment you will be required to provide a copy of your passport, or another form of photographic identification along with your birth certificate / evidence of citizenship.

Workplace Health and Safety

Are there any pre-existing injuries, illnesses or medical conditions that you have that Brigidine College needs to be aware of that may affect your ability to perform the inherent requirements of the position (as outlined in the position description for which you are applying)? Yes No

If yes, please provide details:

Date of injury/condition Nature of injury/condition Status of condition

Full time Part time Casual

2. EMPLOYMENT HISTORY

Current Employer

Are you currently employed: Yes No

Is your current employer aware of this application? Yes No

If successful, by what date would you be able to take up a new appointment?

Past Work History

Have you attached a current Resume containing the relevant information below? Yes No

If no, please complete the section below.

Employer Position Date From Date To

3. EDUCATION & QUALIFICATIONS

Senior Secondary Education

School Attended

Location

Qualifications

Please list tertiary or other appropriate qualifications. On offer of employment you will be required to provide certified copies of qualifications and registrations.

Qualification Name of Institution Major Study Discipline/s

From To

Teacher Registration (if applicable to the position being applied for)

Are you currently registered with the Queensland College of Teachers? Yes No

Registration Number

Present Classification (if applicable)

Expiry Date

Professional Membership/s

State the Abbreviation you are entitled to show on correspondence, e.g. B.Sc. M.A.C.E.

Suitability Cards

A Queensland Working with Children Blue Card is essential for all non-teaching appointments. If you do not have a Blue Card you will be required to apply for one.

Are you the current holder of a blue card or exemption card? Yes No

If yes, Card Number Expiry Date

Have you ever been convicted in a court of law? Yes No

If yes, please provide details:

4. REFEREE INFORMATION

Please give the names of 3 referees to be contacted in reference to your application. Please include a referee from your current Employer.

Have you attached a current Resume containing the relevant information below? Yes No

If no, please complete the section below.

Referee 1 Name Organisation

Position Telephone

Mobile Email

Referee 2 Name Organisation

Position Telephone

Mobile Email

Referee 3 Name Organisation

Position Telephone

Mobile Email

5. OTHER INFORMATION

Please list and attach significant in-service, linguistic or other skills, etc which you consider relevant to your application for this position.

6. APPLICANT’S DECLARATION

I certify that the information contained in this application is correct and complete. I acknowledge that any failure to advise, or any statements found to be false within my knowledge, may make be liable for immediate dismissal if appointed to a position.

I will undertake to develop and maintain an adequate understanding of Catholic teachings, to demonstrate Christian values and to educate students in accordance with the Catholic educational philosophy.

Applicant's Signature:

Date:

Please ensure the following is attached to your application (if applicable to your application): • Cover Letter• Current Resume• Response to Selection Criteria• Certified copy of Qualifications (including academic results for recent graduates only)• Certified copy of Teacher Registration