APPLICATION FORM
PERSONAL PARTICULARSTEACHER REGISTRATION NUMBER: ______
Surname: ______Given names: ______Preferred name: ______Title: (eg. Ms, Mr) ______Date of Birth: / /
Address: ______
______Post Code: ______
Phone No: ( ) ______Mobile No: ______
Email address: ______
Religion: ______
Do you have a medical condition which your employer should be
aware of in assessing your suitability for the position? Yes No
Have you been convicted in a Court of Law other than for a Traffic offence? Yes No
CURRENT EMPLOYMENT
Present Position: ______Phone Number: ( ) ______Employer’s Name: ______
Work address: ______
______Post Code: ______
REFEREE REPORTS
CURRENT EMPLOYER/PRINCIPAL
Name: ______Address: ______Post Code: ______
Phone No: ( ) ______Mobile No: ______
OTHER PROFESSIONAL REFEREE
Name: ______Address: ______Post Code: ______
Phone No: ( ) ______Mobile No: ______
OTHER PROFESSIONAL REFEREE
Name: ______Address: ______Post Code: ______
Phone No: ( ) ______Mobile No: ______
EMPLOYMENT HISTORY
Position Held / Date Commenced / Date Finished / SchoolEg. SOSE Teacher / 25/1/ 1993 / 7/9/1996 / St Patrick’s, MacKay
TERTIARY QUALITICATIONS
Institution / From / To / QualificationsSECONDARY EDUCATION
School Attended / YearACCREDITATION
Have you completed the Graduate Certificate in Catholic Studies? Yes NoAre you enrolled in units of the Graduate Certificate in Catholic Studies? Yes No
If the answer to either question is ‘Yes’ please enclose documentary evidence.
QUALITIES, APTITUDES, EXPERIENCE AND ASPIRATIONS THAT YOU WILL BRING TO THIS POSITION
MEMBERSHIP OF PROFESSIONAL ASSOCIATIONS
PUBLICATIONS
PAPERS PRESENTED
CONFERENCES, PROFESSIONAL DEVELOPMENT ACTIVITES ATTENDED IN RECENT YEARS
EXTRA CURRICULAR INTERESTS
Activity / Relevant Experience / Qualifications1 / 1
2 / 2
3 / 3
DOCUMENTATION REQUIRED
Cover letter
Statement Responding to Selection Criteria
Teacher Registration Certificate
Responding to Abuse & Neglect Certificate
Applicant Declaration Form
EMPLOYMENT COLLECTION NOTICE
In applying for this position and submitting your application for employment you will be providing Cardijn College with personal information, for example your name, address and information contained in your resume. We will collect and record this information in order to assess your application.If you believe that any of your personal information held by us 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 by 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.
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.
APPLICANTS AFFIRMATION
I 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 employment.Signature of Application: ______Date: / /
You are reminded to include all necessary documentation as noted on this page.
Please return this form to:
The Principal, Cardijn College
PO Box 438, Noarlunga Downs SA 5168
or
Email:
Receipt of your application will be acknowledged via email.