Sacred Heart College

Application Form for Teaching Staff

1. / Position(s) for which you are applying for (if more than one, please list in order of preference)
2. / Personal Information
Title / Last Name / First Names / Date of Birth
Home Address:
Postal Address:
Home Phone No.: / Mobile: / Work:
Email:
3. / Educational Details

Details of relevant completed qualifications

Details of Tertiary Institution: / Years / Qualification / Teaching Methods
Details of qualifications currently being undertaken:
Details of Tertiary Institution(s): / Years / Qualification / Expected date of completion
4. / Accreditation Details /
Details of accreditation to teach in a Catholic School or Teach Religious Education
CECV Accreditation No.: / CECV Accreditation Type:
Details of accreditation to register as a teacher
Victorian Institute of Teaching Registration No: / Other Accreditation Institute/No.:
5. / Employment Details /
Teaching Employment History:
From: / To: / School and Location: / Subjects & Year Levels Taught:
Details of Positions of Leadership:
From: / To: / School and Location: / Position(s) of Leadership Held
Other Employment History:
From: / To: / Employer: / Position: / Duties:
Name of Current Employer:
Address of Current Workplace:
Telephone: / Fax Number:
5. / Details of recent and relevant professional development
6. Referees
1. / Name
Address:
Private Tel: / Work Tel: / Mobile:
Relationship to self: / Occupation:
2. / Name
Address:
Private Tel: / Work Tel: / Mobile:
Relationship to self: / Occupation:
3. / Name
Address:
Private Tel: / Work Tel: / Mobile:
Relationship to self: / Occupation:
7. Declaration

1.  I certify that the information contained in this application form and accompanying documentation are complete and accurate. I understand that deliberate inaccuracies or omission may result in non-acceptance of this application and/or termination of employment.

2.  I declare that there have been no substantiated allegations of professional misconduct against me or any criminal convictions which I have not disclosed or that I am not currently under investigation for professional misconduct.

3.  I understand that a police record check will be carried out as a part of the selection process and I agree to this being undertaken.

4.  I understand that the Principal and/or Deputy Principal of Sacred College reserve the right to approach referees other than those nominated.

Signature of Applicant: Date:

Please complete the above application and send it together with a covering letter to:

The Principal

Sacred Heart College

PO Box 286

Yarrawonga Vic 3730

Email:

Fax: 03 5742 1333

If emailing your application we still require a signature in the Declaration section.
Please fax a copy with your signature if unable to email with signature.

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