Application - Commissioner
1. Personal Details1.1 Personal Information
Professional surname:
Surname:
(if different from above)
Given names:
Preferred name:
Title:
Date of birth: / DD / MM / YYYY
Telephone:
Mobile:
Email:
Residential address: / Street
Suburb/town
State
Postcode
Mailing address, if different to above: / Street
Suburb/town
State
Postcode
1.2 Working rights
Are you an Australian Citizen or do you have Permanent Residency?
Yes
No
If no, please state your current visa status:
2. Appointment
For the role of Commissioner please indicate your preference:
Full Time Commissioner
Part Time Commissioner
Sessional Commissioner
SupplementaryCommissioner
If nominating as a part time, sessional or supplementary Commissioner please outline your availability:
3. Professional Information
Do you now hold, or have you ever held, any judicial appointments or any appointment to a Tribunal? If yes, specify appointment, jurisdiction and period of appointment.
Yes
No
If yes, appointment:
Jurisdiction:
Period of appointment:
Additional comments:
3.1Professional Qualifications- Legal practitioners
Have you been admitted to legal practice or are you enrolled as a legal practitioner in Australia?
Yes
No
If yes, please specify the date you were first admitted or first enrolled and the court or jurisdiction.
Date of admission: / DD / MM / YYYY
Court or jurisdiction:
Number of years standing in practice:
3.2Professional Qualifications - Other professions
Provide details of professional qualification and experience in the related industry.
Profession
Number of years’ experience
Detail your eligibility for appointment by providing information on your extensive knowledge, expertise or experience relating to a class of matter for which functions may be exercised by the Tribunal.
4. Curriculum Vitae & response to selection criteria
4.1 Curriculum Vitae
You must submit your curriculum vitae with this completed form. Your curriculum vitae must include information about:
- your further and higher education qualifications (including institution/s attended and date/s qualification obtained); and
- your employment history.
4.2 Response to selection criteria
Please use the following section to provide information in support of your skills and experience against the selection criteria. Your responsesare to be of no more than 250 words to each selection criteria.
4.2.1Technical Expertise
A lawyer of at least five years standing; or
Response:
A person with extensive knowledge, expertise or experience relating to a class of matter for which functions may be exercised by the Tribunal.
Response:
Commissioner
4.2.2 Selection Criteria
a) Demonstrated ability to work in a high-volume and complex case-driven work environment and resolve and determine matters within limited timeframes.
Response:
b) Ability to use modern case management practices.
Response:
c) Impeccable personal integrity and a demonstrated commitment to fairness, equity and access to justice.
Response:
d) Demonstrated ability to promote and conduct alternative dispute resolution processes.
Response:
e) Knowledge and understanding of workers compensation, employment and industrial law.
Response:
f) Demonstrated high level strategic, policy development, analytical and problem solving skills.
Response:
g) Well-developed communication, negotiation, liaison and interpersonal skills including the capacity to work collaboratively and gain the co-operation of others including other professionals to achieve particular goals.
Response:
h) Ability to develop effective working relationships with people at all levels, both within and outside SAET.
Response:
4.2.3Key Attributes
The capacity to exercise authority and remain professionally independent in carrying out the role of Conciliation Officer.
Response:
Impeccable personal integrity and a demonstrated commitment to fairness.
Response:
Apply the law equally and act in an impartial manner in the performance of their decision making functions.
Response:
4.2.4Desirable
Accreditation or the ability to achieve accreditation as a mediator under the National Mediation Accreditation System.
Response:
Demonstrated ability to promote and conduct alternative dispute resolution processes particularly in a Tribunal setting.
Response:
5. References
We are seeking evidence from people who are in a position to comment on how you meet the selection criteria. We may contact referees to discuss your application.
Referee 1
Title, name and position
Telephone (w)
Telephone (m)
Please state how they are known to you.
Referee 2
Title, name and position
Telephone (w)
Telephone (m)
Please state how they are known to you.
Referee 3
Title, name and position
Telephone (w)
Telephone (m)
Please state how they are known to you.
6. Pre-Employment Check
6.1 Criminal Record
Please answer the following questions by ticking the appropriate box. If you answer “yes” to any of the questions in this section, please provide details in the area provided below or in an attachment to this form.
Are you currently facing charges yet to be determined for any offence? / Yes
No
Have you ever been convicted of, or cautioned for, any criminal offence (including minor traffic offences)? / Yes
No
Have you ever been:
a) Investigated, arrested, reported for or pleaded or found guilty of any criminal offences?
b) Terminated by a South Australian public sector agency or any other organisation for any reason?
c) Subject of allegations or an investigation or any other process relating to alleged unsatisfactory performance or misconduct by you as an employee? / Yes
No
Have you completed a Criminal Record Check in last 12 months?
If yes, please provide a copy of the report.
If no, please complete an application form and provide with your job application. The form is available at:
Note: Employment is dependent upon a National Police Certificate clearance that the SAET finds satisfactory. / Yes
No
Employment is dependent upon a National Police Check (NPC) that the SAET finds satisfactory. At the time of interview you will be required to complete an NPC application form. Do you consent to the results of this check being sent directly to SAET? / Yes
No
Have you ever been declared bankrupt, made a composition with your creditors, or been sued to judgment for any debt, or are any such proceedings pending? / Yes
No
Have you ever had proceedings brought against you relating to income tax, GST or any other form of tax or rates, or are any such proceedings pending? / Yes
No
Have you ever had an action brought against you for professional negligence, without the matter being dismissed, or are any such proceedings pending? If you are a solicitor and such a matter has been brought against your firm in respect of a matter under your supervision, answer ‘Yes’. / Yes
No
Are you, or have you ever been, subject to the disciplinary process of any professional body in respect of a matter involving you personally or under your supervision, or any professional body’s internal complaints procedures, or any disciplinary process undertaken by your employer or manager, without the matter having been dismissed, or are any such proceedings pending? / Yes
No
Is there any additional information or conflict of interest that should be brought to the attention of the President which might call into question whether it is appropriate for you to be appointed as a Conciliation Officer of SAET? / Yes
No
6.2 Medical
Do you currently have any disability or medical condition which might prevent or impede you from being able to satisfactorily perform any duties that might be required of you in the role for which you have applied?
If yes or unsure, please provide details (please include details of any assistance/adjustments that would allow you to carry out the functions of the role). / Yes
No
Have you ever submitted a claim for workers compensation (whether accepted or proven or not)? / Yes
No
Note: If you have any disability or medical condition which might require the provision of non-standard measure to either provide you with a safe system of work, or to enable you to satisfactorily perform your duties, you should tell us. This information is necessary to enable us to provide a safe system of work to you in the event that you are appointed, and to enable us to provide appropriate assistance.
The provision of any such information will not be used to discriminate against you because of the existence of any such disability or medical condition.
6.3 Separation
Have you ever received any voluntary early retirement or voluntary separation package from the South Australian public sector?
If yes, please provide details of resignation date and name of agency/authority issuing retirement/separation package.
Note: “Public sector” in relation to such packages means any agency or instrumentality of the Crown in right of the State of South Australia and includes any corporate body that is in existence or which is established by or under any Act and which is subject to control or direction by a Minister. / Yes
No
Have you resigned from employment in the South Australian Public Sector upon a redemption payment for workers compensation entitlements? / Yes
No
If you have answered yes to any questions, please provide details:
7. Other
Please indicate if you are prepared to travel within South Australia to hear matters, including overnight absences:
Yes
No
Please indicate if you have a current drivers licence:
Yes
No
8. How to apply
8.1 Declaration
I declare that the information in this application and in any other documents completed by me in support of my application, and the information provided by me during any interviews in connection with my application, is true and correct in every detail. I understand that any incorrect statement in connection with my application may lead to a rejection of my application.
Signature of applicant
Date: / DD / MM / YYYY
8.2 Submit application
To submit this application and your curriculum vitae
You should provide:
- An expression of interest letter (no more than 2 pages). Your letter should indicate clearly which Conciliation Officer you are applying for.
- The names and contact details of three referees.
- A completed copy of the attached Declaration.
- Your curriculum vitae outlining your qualification and experience (no more than 6 pages).
Your expression of interest will need be sent via email to Sheridan Worthington, Administration Officer via email on .
Applications will be accepted up to 5pm Friday 10 March 2017
8.3 Privacy statement
The Tribunal is committed to protecting individual’s privacy. Information collected through the application process is primarily used to assess candidates’ suitability for appointment to the Tribunal and is shared with individuals involved in the recruitment process.
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