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Application for Registration as a Casual Teacher

in ACT Public Schools Mandatory Fields are indicated with *

Section 1: General Information To be eligible for employment as a casual teacher you are required to provide proof of the following registrations: • Current ACT Working with Vulnerable People registration (WwVP). For further information, please visit the Access

Canberra website www.accesscanberra.act.gov.au or contact 6207 3000 and • Current ACT Teacher Quality Institute (TQI) registration. For further information, please visit the TQI website

www.tqi.act.edu.au or contact 6205 8867. Applicants should be aware that the application itself is not a guarantee of employment.

*Section 2: ACT Teacher Quality Institute (TQI) Registration Details

A copy of your TQI card must be attached with application

TQI Registration Number: Expiry Date: Click here to enter a date. Category: Select

*Section 3: Working with Vulnerable People (WwVP) Details

A copy of your WwVP card must be attached with this application.

WwVP Registration Number: Expiry Date: Click here to enter a date.

*Section 4: Applicant Personal Details

Family Name/Surname:

First Name/Given Name:

Current Postal Address:

Suburb: State: Postcode:

E-Mail:

Preferred Phone Contact: Gender: Select Gender

*Section 5: Registration Information – if applicable

Have you previously been employed with the Directorate? Select

If Yes, please indicate year and in what capacity - Job Type: Select AGS Number (if known): -

Have you received a voluntary redundancy from the ACTPS in the last two Years? Select If you have received a voluntary redundancy within the last two years you are generally ineligible to be reengaged within the two year exclusion period.

*Section 6: Work Right Status

Are you an Australian Citizen/Permanent Resident? Select If no, do you possess a current working visa? Select Non-Australian Citizens: You must demonstrate your right to work and residency status by providing certified true copies of the relevant pages from your passport and supporting Visa documentation.

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Note: You must hold specific Early Childhood qualifications to teach in a pre-school or early childhood school.

Select

Teaching Subject Areas (e.g. Special Education, Maths):

*Section 7: Teaching Employment History

If insufficient space, please attach details. (Refer to ‘Statements of Prior Teaching Service’ in the Checklist section) Employer/School Date

commenced Date ceased Length of Service

Years / Months F/T or P/T

S of S provided

Select Select

Select Select

*Section 8: Teaching and Other Tertiary Qualifications

Course Name Institution Commenced Completed Awarded

1.

2.

3.

Section 9 : Contact Details

Send completed application and certified copies of your the required documents to:

edusims@act.gov.au or post to People and Performance, HR People Services ACT Education Directorate GPO Box 158 CANBERRA ACT 2601 For further information: e-mail: edusims@act.gov.au Web: ACT Education Directorate Website Phone: (02) 6205 5000

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Application Checklist Application Cover page (2 pages)

Health Questionnaire (1 page)

New Employee Information Pack (6 pages)

Employment History Form (1 page)

A certified copy of your WwVP registration card (Note: This can also be used in the proof of identification)

A certified copy of your ACT Teachers Quality Institute registration card (TQI)

ALL Final Academic Transcripts (certified copies) – These may not be automatically issued, so you may need to request transcripts from awarding institutions. Statements of results will not be accepted in place of Final Academic Transcripts.

Passport and Visa details – If you ticked ‘No’ to section 5 on the application cover page, please provide a certified copy of your passport and a copy of your Australian Immigration VISA details.

* Proof of Identity Requirements Please provide 100 points of certified identification from the categories listed below. At least one of your identification documents must come from Category A as its proof of birth/residency. • For information on authorised persons to certify your documents please refer to page 10 of this application. • Change of Name: If you have had a name change, you are required to provide certified copies of this change i.e.:

marriage certificate or change of name by deed poll (This does not count towards the 100 points of ID) Category A - Each document is worth 70 points – Only one document can be accepted from this category: • Birth Certificate • Australian Passport (current, or expired within the previous two years, but not cancelled) • Australian Citizenship Certificate • International Passport (current, or expired within the previous two years, but not cancelled) • Other document of identity having same characteristics as a passport e.g. diplomatic/refugee (Photo or Signature) Category B - The first document is worth 40 points and each additional document is worth 25 points: • Current Licence or Permit (Government Issued) • Working with Vulnerable People Registration Card • Aviation Security Identification Card/Maritime Security Identification Card • Public Employee Photo ID Card (Government Issued) • Department of Veterans’ Affairs Card • Centrelink Pensioner Concession Card or Health Care Card • Current Tertiary Education Institution Photo ID • Reference from a medical practitioner (must have known the Applicant for a period of at least 12 months) Category C – Each document is worth 25 points: • Foreign/International Drivers Licence • Proof of Age Card or Seniors Card (Government Issued) • Medicare Card/Private Health Care Card • Council Rates Notice • Property Lease/Rental Agreement • Telephone Account with Name, Address and Phone Number • Credit Card/ATM Card • Australian Tax Office Assessment • Superannuation Statement

Statements of Prior Teaching Service (if applicable) - Salary increments are awarded for each completed year of recognised teaching. It is essential that statements of service be provided in order for a salary to be accurately assessed. If official statements of service are not provided, no recognition can be given for prior service, nor will back payment of salary be made for any period of work undertaken with the Directorate at a lower rate of pay prior to the provision of complete statements of service. It is your responsibility to provide this evidence from other employers. That is, where Statements of Service are produced after the commencement of teaching, any alteration to incremental level will occur only from the date such evidence is received by Recruitment Services. A Statement of Service must be on the letterhead of a recognised employing authority and indicate: i. the date of commencement ii. the date of cessation iii. leave without pay indicating the total number of days taken (if nil, the statement must indicate this) iv. where the employment was, and whether full-time or part-time v. if part-time, the total number of days/hours or fraction employed. Statements of Service from previous employers are used to determine the appropriate salary rate. Statements of Service if applicable must be certified true copies.

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Early Childhood Qualifications – If you wish to seek employment in the Early Childhood sector, you will be required to provide certified true copies of your Early Childhood Qualification transcripts.

Health Questionnaire To be completed by all applicants for employment

with the Education Directorate

*Section 10: Health Questionnaire

Considering your health are you currently experiencing any of the following: Please Select: Yes/No

1. Angina, heart disease, persistent chest pain, heart operation? Select

2. High or low blood pressure, frequent palpitations? Select

3. Pain or disability in the lower back or neck? Select

4. Pain or limitation on use of the upper limbs? Select

5. Pain or limitation on use of the lower limbs? Select

6. Occupational Overuse Syndrome or Repetitive Strain Injury? Select

7. Anxiety state, stress, difficulty with concentration or memory? Select

8. Depression or difficulty in sleeping? Select

9. Excessive fatigue/unusual weakness or tiredness? Select

10. Do you have a current work related injury or illness? Select

11. Are you aware of any medical condition or other factor relating to your health and physical fitness which may prevent you from performing the duties of the position/s for which you are applying?

If yes, please state:

I declare that I have supplied all information required and have not provided any false information. Signature: Date: Select Date. (type name if emailing)

This form requests information about you, which will be held securely by the Directorate. The information is collected as a lawful administrative function of the ACT Education Directorate and will be used for employment matters.

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Employment History Form Only complete this form if you have previously worked

for an Australian State Education Department.

The information supplied on this form is used to conduct employment checks with Australian education departments you have previously been employed with in order to assess that you meet the Directorate’s requirements for employment under the Public Sector Management Act 1994.

*Section 11: Personal details of the applicant to be checked Match No Match

Surname Name

Previous Name/s

First Name

Date of Birth

Place of Birth

Details of Interstate Address

Qualifications

Institution

Date

Employment History (in chronological order)

Any other details:

Signature: Date: Select Date.

The information contained on this form is personal information and will be stored, used and disclosed in accordance with the requirements of the Privacy Act 1988 and the Freedom of Information Act 1989 and I consent to its release.

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Employee Information Pack

Mandatory Fields are indicated with * Section 12: Information – Purpose and Privacy What is the purpose of the New Employee Information Pack? The purpose of this pack is to: • Provide you with important information regarding your employment with the ACT Public Service (ACTPS), and obligations as an ACT

Public Service employee. • Collect the minimum information necessary to begin your employment, and • Facilitate mandatory pre-employment checks as required by law. Privacy Statement Personal information is collected by Shared Services on behalf of ACTPS directorates, agencies and authorities and may be supplied to your employing directorate. Information collected will be used in accordance with the provisions of the Commonwealth Privacy Act 1988 and only for the purpose for which you gave it. Your information will not be disclosed to other persons or organisations without your prior consent unless required by law. Conditions of Offer of Employment Offers of employment are made on the basis that you satisfy all pre-employment checks relevant to the ACTPS and any other identified position specific requirements. Further information is provided on the Jobs ACT website at http://www.jobs.act.gov.au/about-the-actps/starting-with-the-actps/pre-employment. * Section 13: Fair Work Information Statement In accordance with provisions of the Fair Work Act 2009, all new employees must be provided with access to the Fair Work Information Statement. This document is available from http://www.fairwork.gov.au/employee-entitlements/national-employment-standards/fair-work-information-statement. Please take the time to read this document and understand your rights. * Section 14: Personal Details

* Section 15: Bank Account Details: Your salary will be paid into the account you specify here.

Family Name Enter Surname Given Names Enter your Given Names Preferred Name Enter your preferred name | Optional

Previous Name(s) Enter any previous names

Title Select your Title

Date of Birth Enter your Date of Birth

Gender Select Gender Street address Enter your Street Address

Suburb Enter your Suburb State Select your State Post Code Enter your Postcode

Email Enter your Email Address

Mobile Ph Enter your Mobile Phone Number Home Ph Enter your Home Phone Number

Name of Emergency Contact Enter the name of your Emergency Contact

Emergency Contact Ph Enter the phone number for your Emergency Contact

Aust. Driver’s Licence No. Enter Licence No. Issuing State Select State

Name of Financial Institution Enter name of Financial Institution here

Branch Number (BSB) Enter BSB here

Branch Name Enter Branch here

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Employee Information Pack

Mandatory Fields are indicated with *

Account Number Enter Account Number here

Account Name Enter Account Name here

Information you provide will help us determine how much tax to withhold from your pay. Further information is available at: https://www.ato.gov.au/forms/tfn-declaration/ What is your Tax File Number (TFN) Enter TFN

OR Select a TFN exemption category Select the relevant TFN Exemption

Basis of Employment (full-time, part-time, etc) Select your Employment Status Are you an Australian resident for tax purposes Yes/No If you answered ‘No’, you cannot claim the tax-free threshold

Do you want to claim the tax-free threshold from the ACTPS? Yes/No Only claim the tax free threshold from one employer at a time, unless your total income from all sources for the financial year will be less than the tax-free threshold. If you answered ‘No’, you cannot claim the seniors and pensioners tax offset by reducing the amount withheld Do you want to claim the seniors and pensioners tax offset by reducing the amount withheld? Yes/No If you answered yes, complete the Withholding declaration Nat 3093 and refer to https://www.ato.gov.au/forms/tfn-declaration/ for further information Do you want to claim a zone, overseas forces, dependent spouse or dependent (invalid and career) tax offset by reducing the amount withheld Yes/No If you answered yes, complete the Withholding declaration Nat 3093 and refer to https://www.ato.gov.au/forms/tfn-declaration/ for further information

Do you have a Higher Education Loan Program (HELP) or Trade Support Loan (TSL) debt? Yes/No Do you have a financial supplement debt? Yes/No

* Section 16: Superannuation

Comsuper | PSSdb or CSS

Members of either the PSSdb or CSS may be required to contribute to this fund. Shared Services will check your status with ComSuper to determine this. PSSdb members may need to complete additional forms from Comsuper as part of reactivating a Comsuper account. See the Comsuper website for more details PSSap | Access to ComSuper’s PSSap fund is not available to members of the ACTPS. Members of this fund will need to select an alternative fund using the options below.

If you have a Comsuper managed Superannuation Fund (PSSdb or CSS Only) please enter your AGS Number: Enter AGS Number

OR * Section 17: Superannuation Standard Choice

Instructions for completing the following fields are available at: https://www.ato.gov.au/Forms/Superannuation-(super)-standard-choice-form/?page=2#Instructions Additional information regarding superannuation can be downloaded from: http://www.jobs.act.gov.au/about-the-actps/superannuation-entitlements. Where would you like your super contributions paid to: Select your Super Choice

Fund ABN Enter Fund ABN

Fund Name Enter Fund Name

Fund Email Address Enter Fund Email Address

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Employee Information Pack

Mandatory Fields are indicated with *

Fund Address Enter Fund Address Fund Phone Enter Fund Phone Number

APRA or RSA funds Only (No BPAY available)

Unique Superannuation Identifier (USI) Enter USI here

Account Name (if applicable) Enter Account Name here

Member No. (if applicable) Enter Member Number here

Self Managed Super Funds Only (No BPAY available)

Fund Electronic Service Address (ESA) Enter ESA here

Fund Account |BSB Code Enter BSB here

Fund Account | Number Enter Account Number here

Superannuation Guarantee – Employee Contribution Rate (Non-Comsuper funds only)

The ACT Government is required to pay a minimum of 10% (based on your earnings) for you into the fund of your choice. If you choose to contribute an additional 3% or more of your earnings into your fund, the ACT Government will contribute a further 1% bringing the overall employer contribution up to 11%.

Personal superannuation contribution rate Enter a percentage | Optional

Section 18: Equity and Diversity Details (Optional)

The ACT Public Service collects information on EEO groups for statistical purposes only. This information is used for reporting purposes and for the development of equity and diversity programs. All reporting is in the form of aggregate tables from which individual detail cannot be identified. Information from this section will not be used for future employment or selection processes.

Are you of Aboriginal and/or Torres Strait Islander origin? Yes/No

Were you born in Australia? Yes/No

If you were not born in Australia, in what year did you arrive? Enter Year

Was English the first language you spoke? Yes/No

What was the first language you spoke? Enter Original Language

Was English the first language spoken by your Mother? Yes/No

Was English the first language spoken by your Father? Yes/No

Are you a person with a disability? Yes/No

If Reasonable Adjustment would aid you in the workplace, please consider speaking with your supervisor or HR team

Section 19: Further Information and Support

Managing your personal information once you have started (HR21).

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HR21 is the employee self-service system used in the ACTPS to:

• View personal and employment details; • Update personal details such as bank account, address and emergency contact details; and • Apply for leave from work.

Information and Guides for HR21 can be viewed at Shared Services Customer Service Portal or contact hrsharedservices@act.gov.au to find out more.

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Employee Information Pack

Mandatory Fields are indicated with *

As a member of the ACT Public Service, your actions and behaviour are governed by a range of legislation and policy. Your offer of employment with the ACT Public Service is conditional upon reading and understanding the following policy statements. By signing and dating this form you are acknowledging that you have read and understand these policies, conditions and requirements General Obligations of Public Employees Your obligations as a public employee. Includes information re: ethics, holding second

jobs and the unauthorised disclosure of information. Workplace Privacy Policy Service wide management of workplace surveillance and applies to all ACT

Government workers and contractors. Acceptable Use of ICT Resources Policy Acceptable use of information and communications technology (ICT) resources for

ACT Government employees.

The ACTPS must ensure that public service employees are fit and proper persons. Use the space below to disclose any relevant information such as incidents, police records, etc, to help determine your suitability to work for the ACTPS. Failure to adequately disclose relevant information may result in denial or termination of registration for casual employment, and/or cancellation of any offer of contract or permanent employment.

Select Disclosure Status You must select at least one option.

Enter any disclosures here

I, acknowledge that:

• I have read and understood my obligations, specifically, the General Obligations of Public Employees, the Workplace Privacy Policy, Self Disclosure information/declaration and the Acceptable Use of ICT Resources Policy.

• I have been given the opportunity to read and understand my entitlements as established under Commonwealth and ACT Law, specifically, the Fair Work Information Statement, Superannuation Standard Choice, and Superannuation Entitlements.

• The information I have provided on this form is true and correct. • Any qualifications or proof of professional registration submitted with this application are genuine. • That I give consent for my information to be released to the AFP, Crimtrac and other Australian jurisdictions for the purposes

of a national criminal history record check.

Signature (type name if emailing)

*Signature: (Please type name if emailing)

Date: / /

Request for Feedback This is a new form that has been designed to consolidate and update a large number of individual forms into the one document. Please let us know at HRSharedServices@act.gov.au if there is anything you think does or doesn’t work well. We will regularly review this form and all feedback will be taken into consideration.

* Section 20: My Obligations

* Section 21: Self Disclosure

* Section 22: Acknowledgement

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Authorised Persons under the Statutory Declarations Act 1959 The below persons are authorised to certify documents on your behalf.

(1) a person who is currently licensed or registered under a law to practise in one of the following occupations: Chiropractor Dentist Legal practitioner Medical practitioner Nurse Optometrist Patent attorney Pharmacist Physiotherapist Psychologist Trade marks attorney Veterinary surgeon (2) a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); (3) a person who is in the following list:

• Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public

• Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955)

• Bailiff • Bank officer with 5 or more continuous years of

service • Building society officer with 5 or more years of

continuous service • Chief executive officer of a Commonwealth court • Clerk of a court • Commissioner for Affidavits • Commissioner for Declarations • Credit union officer with 5 or more years of

continuous service • Employee of the Australian Trade Commission who

is: o in a country or place outside Australia; and o authorised under paragraph 3 (d) of the

Consular Fees Act 1955; and o exercising his or her function in that place

• Employee of the Commonwealth who is: o in a country or place outside Australia; and o authorised under paragraph 3 (c) of the

Consular Fees Act 1955; and o exercising his or her function in that place

• Fellow of the National Tax Accountants’ Association • Finance company officer with 5 or more years of

continuous service • Holder of a statutory office not specified in another

item in this list • Judge of a court • Justice of the Peace • Magistrate • Marriage celebrant registered under Subdivision C

of Division 1 of Part IV of the Marriage Act 1961 • Master of a court • Member of Chartered Secretaries Australia • Member of Engineers Australia, other than at the

grade of student • Member of the Association of Taxation and

Management Accountants • Member of the Australasian Institute of Mining and

Metallurgy • Member of the Australian Defence Force who is:

o an officer; or o a non-commissioned officer within the

meaning of the Defence Force Discipline Act 1982 with 5 or more years of continuous service; or

o a warrant officer within the meaning of that Act

• Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practising Accountants or the National Institute of

• Accountants • Member of:

o the Parliament of the Commonwealth; or o the Parliament of a State; or o a Territory legislature; or o a local government authority of a State or

Territory • Minister of religion registered under Subdivision A

of Division 1 of Part IV of the Marriage Act 1961 • Notary public • Permanent employee of the Australian Postal

Corporation with 5 or more years of continuous service who is employed in an office supplying postal services to the public

• Permanent employee of: o the Commonwealth or a Commonwealth

authority; or o a State or Territory or a State or Territory

authority; or o a local government authority;

with 5 or more years of continuous service who is not specified in another item in this list • Person before whom a statutory declaration may

be made under the law of the State or Territory in which the declaration is made

• Police officer • Registrar, or Deputy Registrar, of a court • Senior Executive Service employee of:

o the Commonwealth or a Commonwealth authority; or

o a State or Territory or a State or Territory authority

• Sheriff • Sheriff’s officer • Teacher employed on a full-time basis at a school or

tertiary education institution