Applicant’s Name
Applicant’s Current Position:
Position applied for: / Principal Position – Mary MacKillop Catholic Regional College, South Gippsland
Referee’s Name:
Referee’s Current Position:
Referee’s Current Address
Referee’s Current Phone:
Time you have known the Applicant:

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1.0Religious Dimension:

N / 1 / 2 / 3 / 4 / 5
1.1 / Understanding of and commitment to Catholic Education.
1.2 / Personal witness to Gospel Values in daily living.
1.3 / Leadership and participation in spiritual life of the school, liturgies, prayer, etc.
1.4 / Knowledge of contemporary issues in Religious Education.
1.5 / Quality of pastoral care.
Comment:

2.0Teaching and Learning Dimension:

N / 1 / 2 / 3 / 4 / 5
2.1 / Teaching competency.
2.2 / Familiarity with current educational theory and practice.
2.3 / Ability to provide leadership in the development of effective teaching programs.
2.4 / Ability to provide leadership in the evaluation of teaching programs.
2.5 / Ability to provide leadership in the implementation of effective assessment and reporting strategies.
2.6 / Commitment to personal professional development.
Comment:

3.0Administrative Dimension:

N / 1 / 2 / 3 / 4 / 5
3.1 / Organisational effectiveness
3.2 / Capacity to manage school resources
3.3 / Effective record keeping skills
3.4 / Ability to provide leadership for school development planning
3.5 / Ability to develop and implement effective policy and procedures
3.6 / Personal time management
Comment:

4.0Leadership Skills and Styles:

N / 1 / 2 / 3 / 4 / 5
4.1 / Ability to collaborate.
4.2 / Ability to make decisions.
4.3 / Ability to delegate.
4.4 / Ability to be flexible, creative and adaptable.
4.5 / Professional presentation
Comment:

5.0Interpersonal Skills and Style:

N / 1 / 2 / 3 / 4 / 5
5.1 / Ability to exercise authority appropriately
5.2 / Ability to handle conflict appropriately
5.3 / Ability to maintain confidentiality
5.4 / Ability to empower others
5.5 / Ability to affirm others
5.6 / Accessibility
5.7 / Approachability
5.8 / Ability to communicate
Comment:

6.0Community Dimension:

N / 1 / 2 / 3 / 4 / 5
6.1 / Quality of communication with parents
6.2 / Quality of communication with clergy and members of the parish community.
6.3 / Quality of communication with the wider community.
6.4 / Accessibility to parents.
6.5 / Relationship with parent organisations.
6.6 / Support for parent participation in the School life.
6.7 / Understanding of the Schools’ relationship to the wider Church community.
Comment:

7.0Additional Comments:

You may wish to comment on other relevant knowledge that you may have concerning the applicant’s capacity for the position.

8.0Suitability and Readiness for the Position:

Please comment on the applicant’s suitability and readiness for this position.
Recommendation:
Please check the appropriate box:
I recommend the applicant for this position
I do not recommend the applicant for this position
Signature: / Date:

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