APPLICATION FOR TEACHER EMPLOYMENT 1. Please read the ‘Guidelines For Teacher Employment Applications’ when completing this form2. This symbol denotes that the applicant is required to supply certified documentary evidence

to support their application3. Applications will be held for 6 months from the date received4. General applications should be sent to Toowoomba Catholic Schools Office and advertised

position should be sent to the contact person as per the advertisement.SECTION 1: Personal Details

Surname:

Given Name/s: Preferred Name: Title: (Mr, Mrs, Ms, Miss, Dr, Sr, Br)

Date of Birth: (Birth Certificate)

Street Address:

Town/Suburb: Post Code:

Postal Address:

Town/Suburb: Post Code:

Email: Home Phone: Mobile:

Marital Status: (Marriage Certificate) Previous Name:

Religious Denomination: Catholic Other:(please specify)

Next of Kin: Phone No: Mobile No:

SECTION 2: Applicant Details

2 (a) Applicant Type If you are a registered teacher, or eligible for registration with the Queensland College of Teachers (QCT) tick one of the following:

GRADUATE UNIVERSITY ATTENDED - END DATE -

A graduate applicant who has completed or will soon complete their final major professional experience (teaching practicum) or who has taught for less than a year

GENERAL STATEMENT OF SERVICE/S (As per 7b)Applicants who have successfully completed a minimum of one year of teaching service with a recognised education history

2 (b) Type of employment sought (Please indicate one or all of the preferences listed right)

Full Time Part Time Relief (available M T WT F)

2 (c) Sector Preference (Please indicate one or all of the preferences listed right)

Early Childhood Primary Secondary

2 (d) Is this application for an advertised position or a general application. GENERAL ADVERTISED POSITION

School/position title:

2 (e) If an advertised position where did you hear about this position? Enter any further details such as which newspaper or other sources.

Newspaper Website Catholic leader Seek word of mouth Other

SECTION 3: Additional Personal and Identification Information

3 (a) Educational History Please identify primary schools and secondary colleges attended as a student

Name of School Town/City

3 (b) Teacher Registration Full Provisional

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

Expiry Date:

If YES, registration number:

If you have applied, please indicate your receipt number:

3 (c) Previous Employment Yes No

Have you ever been previously employed as a teacher with Catholic Education?

If YES, name of school/diocese/employer:

3 (d) Criminal History Yes No

Have you ever been charged or convicted in a court of law for anything other than for a traffic offence?

If YES, please provide a statement giving details.

3 (e) Medical History Yes No

Do you have any health concerns or medical conditions you are aware of that may affect your ability to undertake work requirements of the position and that the employer should be made aware of so that duty of care to employees can be fulfilled If YES, please provide a statement giving details. 3 (f) Eligibility to Work Requirements

For further information refer to “Guidelines for Teacher Employment Applications”

What is your residency status? Documentary evidence required Australian Citizen Australian Permanent Resident New Zealand Citizens who entered Australia on a current New Zealandpassport Non-Australian Citizens holding a valid visa with work entitlements

Current Visa class Current Visa sub-class Visa Expiry date:

If you are a permanent or temporary visa holder please provide the following information

SECTION 4: Recognition of Diversity – Completion of this section is voluntary

Do you identify as any of the following? If YES, please identify which target group.

Yes No

Aboriginal or Torres Strait Islander Person

Person with a disability

Person from a Non-English speaking background

SECTION 5: Teaching Preferences

List subjects/key learning areas you are formally qualified to teach:

Primary Secondary

SECTION 6: Location Preferences – Primary and Secondary

I will accept an appointment to any Catholic school in the Diocese of Toowoomba? (see full list of schools below)

Yes No

NOTE: You are advised that limiting your location preferences may limit your employment opportunities.

6 (a) Please indicate your preference/s below:

Toowoomba Country St Saviour’s Primary School St Anthony’s Primary School St Thomas More’s Primary School Mater Dei Primary School Holy Name Primary School Sacred Heart Primary School Our Lady of Lourdes Primary School St Mary’s College – (5 – 12) St Saviour’s College – (8 – 12) St Joseph’s College – (8 – 12) Youth and Community Learning Centre (YCLC)

Note: to obtain more information about the location of Schools, please refer to the Toowoomba Catholic Education Website. www.twb.catholic.edu.au

Allora – St Patrick’s School (p – 7) Charleville – St Mary’s School (p – 7) Chinchilla – St Joseph’s School (p – 7) Clifton – St Francis de Sales School (p – 7) Cunnamulla – Sacred Heart Parish School (p – 7) Dalby – Our Lady of the Southern Cross College (p – 12) Goondiwindi – St Mary’s School (p – 7) Highfields – Mary MacKillop Catholic School (p – 7) Inglewood – St Maria Maria Goretti School (p – 7) Millmerran – St Joseph’s School (p – 7) Mitchell – St Patrick’s Primary School (p – 7) Oakey – St Monica’s School (p – 7) Pittsworth – St Stephen’s School (p – 7) Quilpie – St Finbarr’s School (p – 7) Roma – St John’s School (p – 12) St George – St Patrick’s School (p – 7) Stanthorpe – St Joseph’s School (p – 12) Tara – St Joseph’s School (p – 7) Warwick – St Mary’s School (p – 7) Warwick – Assumption College (8 – 12)

6 (b) Brief comments on preferences: Indicate details of any restrictions to your location preferences. Also provide details of personal circumstances which need to be considered when determining your placement arrangements.

SECTION 7: Teaching and Other Relevant Employment History

7 (a) Teaching Practicums – (GRADUATE APPLICANTS ONLY)

Name of School Town/City From dd/mm/yyyy

To dd/mm/yyyy

7 (b) Teaching History Certified copies of official Statement of Service will be required before service can be recognised for classification and Salary purposes.

Name of School Town/City Work Status (FT, PT, Relief)

From dd/mm/yyyy

To dd/mm/yyyy

7 (c) Recognition of Prior Non-Teaching Service and Experience

Do you have any previous non-teaching service that could be recognised for classification purposes? Yes No

Please state briefly this service:

If YES, once appointed to a school you will need to complete a P34 form (available on request by contacting the school or Toowoomba Catholic Education Office) outlining how the service is relevant to the position and provide supporting documentation e.g. Statement of Service. The recognition of other service will be based upon demonstrated relevance to the work which the employee is appointed. SECTION 8: Skills and Competencies

Please record your skills and competencies e.g. TAFE accreditation, first aid accreditation, instrumental music, coaching, etc. Documentary evidence to support the skills/competencies must be attached

Description Date obtained dd/mm/yyyy Competency Level

SECTION 9: Qualifications

9 (a) Educational Qualifications – Teacher preparation course

Graduate applicants must supply certified copies of their official academic transcripts showing that the degree has been conferred or a copy of their degree and their most recent practicum teaching reports.

Qualification – Name of Course Name of Institution Completion

Date dd/mm/yyyy

Majors

9 (b) Qualifications – Other tertiary qualification (if applicable)

You must supply certified copies of all degrees or official academic transcripts showing that the degree has been conferred.

Qualification – Name of Course Name of Institution Completion

Date dd/mm/yyyy

Majors

9 (c) Qualifications – Religious Education (if applicable)

You must supply certified copies of your qualifications.

Qualification – Name of Course Name of Institution Completion Date dd/mm/yyyy

9 (d) Accreditation

Do you have Accreditation to Teach in a Catholic School? Yes No

Do you have Accreditation to Teach Religion in a Catholic School? Yes No

If YES, please attach a certified copy of the relevant documentation.

SECTION 10: Referees

You are required to submit two written Referee Reports to support your application for employment. Information provided by your Referee’s is to be used solely in connection with your application for employment. PROFESSIONAL (If you have previously held a teaching position this must be from your most recent Principal)

Name: Position:

Phone: Email:

Mobile:

ADDITIONAL PROFESSIONAL OR RELIGIOUSName: Position:

Phone: Email:

Mobile:

Referee Reports are to be mailed directly back to:

Toowoomba Catholic Schools Office Attention: Human Resources Operations PO Box 813

Toowoomba Qld 4350

Or if applying for an advertised position send to the school contact person as per the advertisement.

SECTION 11: Employment Collection Notice **THIS SECTION MUST BE SIGNED AND DATED**

In applying for a position within Toowoomba Catholic Education and submitting your application for employment, you will be providing the Diocese of Toowoomba Catholic Education Office or School with personal information; for example, your name, address and other details contained in your resume/curriculum vitae. We will collect and record this information in order to assess your application.

If you believe that any of your personal information held by is incomplete or inaccurate, you have the right, in accordance with the provisions of the Privacy legislation, to notify us and make any updates or corrections.

Where you have provided us with the name and address of a person in connection with your application (e.g. referee), you should inform the person that you have done so and the reason for it. You should also inform them that the information is to be used solely in connection with your application for employment.

In submitting this application for employment, you agree that you will not seek access to references provided by third parties or to confidential notes or reports made to us relating to your application for employment. We seek your agreement in this regard to ensure that referees are not inhibited from providing complete and accurate references as to your suitability for the position. Access to feedback on the selection process is available.

I agree with the above conditions and certify that the information in this application is true to the best of my knowledge. I understand that I have a duty to disclose sufficient information to enable a prospective employer to make a properly informed decision about my employment.

Signature:

Date:

SECTION 12: Mandatory Reporting Requirements.

New Applicant to Diocese of Toowoomba.

Go to Section 13

Current / Previously employed by Diocese of Toowoomba.

Have you completed any Toowoomba Diocese, Catholic Education Student Protection training?

Yes No

If Yes, which forum was it:

In-Service Training at a school Yes School name Year completed:

Compass Online Induction Training Yes Year completed:

Compass Online refresher Training Yes Year completed:

Have you completed any Toowoomba Diocese, Catholic Education Code of Conduct training?

Yes No

If Yes which forum was it:

In-Service Training at a school Yes School name Year completed:

Compass Online Induction Training Yes Year completed:

Compass Online refresher Training Yes Year completed:

If yes, please attach proof of attendance/completion either by school sign-in sheets or online certificates.

SECTION 13: Document Checklist

Upon completion of this form, attach CERTIFIED copies of the following documents. Do not send originals

Please post your general Applications to: Toowoomba Catholic Schools Office Attention: Human Resources Operations PO Box 813 Toowoomba Qld 4350

Or if applying for an advertised position send to the school contact person as per the advertisement.