Thank You for Your Enquiry Regarding the Middle Leader (Co-Ordinator) Position

/ Catholic Church Offices
Marian Centre
86-88 Market Street
(Locked Mail Bag 8802)
Wollongong NSW 2500
Phone: +61 2 4253 0800
Fax: +61 2 4253 0808

ABN 67 786 923 621

Dear Applicant,

Thank you for your enquiry regarding the Middle Leader (Co-Ordinator) position.

Attached are the following:

an Application for a Leadership Position for you to complete
the Referee Report form to be completed by your Parish Priest - together with accompanying letter for the Priest
the Referee Report form –a copy of each is to be completed by your current Principal/Employer, Head of School Service/Area Administrator/Supervisor and other nominated referee - together with accompanying letter for the three referees
criteria for Middle Leader selection for Catholic Systemic Schools

It is advisable to view the application document in its electronic form as there are links to various sources that you also will need to access in order to be able to complete the application requirements. The application form can be filled in, printed for signing and also may be saved as an electronic document. Your application form and written response to the criteria must be returned to the school address given in the advertisement on or before the closing date for applications. The Referee Reports should also be returned by the closing date.

While the verbatim Referee Report is confidential, it is important to speak to each person who will be completing a report to discuss the general nature of their report prior to submission. As you are aware the report will be used to contribute significantly to the appointment process. Please ensure you inform referees of the time frame for returning their report.

For an overview of the school please check the school’s website through the Catholic Education Office homepageby selecting the ‘Our Schools’ link.

Thank you for your assistance in this matter. I wish you well in your application for this important leadership position.

Yours sincerely,

Carolyn Hadley

Head of Human Resource Services

Enc.

CEO Wollongong – Middle Leader Package: External Applicant (December 2012)

Application for a

LEADERSHIP POSITION

External Applicants –not currently employed by the Catholic Education Office, Diocese of Wollongong

Human Resource Services

INSTRUCTIONS - PLEASE READ THESE CAREFULLY

It is your responsibility to know if you are a teacher within the meaning of the terms of the NSW Teachers Institute Act. The Catholic Education Office of the Diocese of Wollongong (‘the CEO’) cannot give you this advice.
You are responsible for obtaining a reference from your Parish Priest, Minister or another significant person.
You must complete all fields in this form and fill in all spaces required.
For employment that involves child-related work you must fulfil NSW child protection requirements and be cleared for child-related work. Refer to recent information about the new Working With Children Check requirements.
Please download and read “General Terms of Employment in the Diocese of Wollongong” and “Child Protection Code of Professional Standards” from the employment page of the CEO website before submitting your application.
All documents must be attached to the completed form. Partially completed forms or forms without full documentation will be returned.
Forward this Application to: “Address given in the advertisement.”

Title of Position applied for:
School / CEO:

SECTION 1PERSONAL DETAILS

Surname: / Mobile:
Given Name(s): / Email:
Please note that this email address needs to be current & correct as it is used for all correspondence & contracts
Title (Mr., Mrs., Ms., Miss, Dr.): / Date of Birth
Previous name(s): / Place of Birth: (City, State, Country)
Residential Address:
Postcode: / Country of Citizenship:
Australian Resident: YesNo
Postal Address:
Postcode: / Marital Status:
Phone: / Religion:
Are you of Aboriginal or Torres Strait islander origin? No Aboriginal Torres Strait Islander
(Persons of both Aboriginal and Torres Strait islander origin should mark BOTH boxes)
For child-related work, provide: Your Working With Children Check numberWWC expirydate
Or(if your WWCC is not yet available): Your WWCC Application numberAPP [SeeHow to apply for the new Check]
Is English your first language? YesNo
If NO –
- Did you study for your qualification in English in a country where English is an official language?Yes No
- Have you undertaken the International English Language Testing System (IELTS), Professional English Assessment for Teachers (PEAT), or International Second Language Proficiency Rating (ISLPR)? Yes No
- Attach a copy of your most recent IELTS, PEAT or ISLPR, if applicable.

SECTION 2NSW INSTITUTE OF TEACHERS

If you are commencing teaching in NSW or you are returning to the teaching of Board of Studies subjects in NSW after an absence of five (5) years or more, you will need to be accredited with the NSW Institute of Teachers.

Teachers registered with the teacher registration authorities of Victoria, the Northern Territory and Queensland are eligible to have their registration recognised by the NSW Institute of Teachers. Forms (A or B) are available online on the Institute’s website:

Are you a member of the NSW Institute of Teachers?YesNo
If you are a member, what is your accreditation number? ______
What is your accreditation level? ______
If you do not have an accreditation number, please indicate the reason(s) below:

I am an “Existing Teacher”, i.e., qualified and teaching in NSW before and since October 2004 and without a five year teaching absence in the meantime.

My application is now in process with the IOT.

I am registered with an inter-state teaching authority.

I will be joining the IOT in the future.

SECTION 3EDUCATION

SECONDARY EDUCATION

Highest Qualification: / Year Taken:
School:

TERTIARY EDUCATION

Qualification Gained / Institution Attended / Years Attended / Date Awarded

Please provide University or College transcript of Academic Results, either the original copies or verified as true copies of the original by an authorised representative of the Catholic Education Office or a Justice of the Peace.

I am qualified to teach:

Primary / Secondary – Teaching Subjects:

RELIGIOUS EDUCATION QUALIFICATION

Qualification Gained / Institution Attended / Years Attended / Date Awarded

ANY OTHER TRAINING / COURSE / QUALIFICATION

Qualification Gained / Institution Attended / Years Attended / Date Awarded

SECTION 4EMPLOYMENT RECORD

TEACHING EXPERIENCE

School and Address / Position / Classes / Subjects / P/T or
F/T / Year
From To / Number ofcompleted Terms
Years / Terms

TOTAL Years / Terms

OTHER EMPLOYMENT

Occupation / Employer / Year
From To
SECTION 5 INDIVIDUAL ACHIEVEMENTS, STRENGTHS AND DEVELOPMENT NEEDS
KEY ACHIEVEMENTS:
What would you consider to have been your key achievements in the last five years? You may have achievements outside of the work environment that you wish to note.
STRENGTHS:
What is it that your Colleagues and Referees are likely to say are your strengths?
DEVELOPMENT NEEDS:
What is it that your Colleagues and Referees are likely to say are your development needs?

SECTION 6PROFESSIONAL ASSOCIATIONS

List any Professional Associations of which you are a member.

SECTION 7BACKGROUND CHECKING

BACKGROUND HISTORY QUESTIONS

Have you been barred from working with children?

If yes, please provide brief details.Yes No

Have you been convicted of an offence that would bar you from child-related work?

These disqualifying offences are specified in Schedule 2 of the Child Protection (Working With Children) Act2012

General details of the disqualifying offences can be viewed at - Automatic barring records

If yes, please give a brief description.Yes No

Are you currently subject to any criminal proceedings that if proven would bar you from child-related work?

If yes, please give a brief description.Yes No

(For applicants who have ever worked in NSW) Have you ever been the subject of an allegation of ‘reportable conduct’ (sexualoffence, sexual misconduct, assault, ill-treatment, neglect or psychological harm of a child) as defined by the NSW Ombudsman and/or the NSW Office of the Children’s Guardian?

If yes, please give a brief description.Yes No

(For applicants who have ever been or worked outside of NSW) Have you ever been the subject of a serious allegation regarding harm to a child that resulted in notification to a statutory authority under the local child protection legislation?

If yes, please give a brief description.Yes No

Are you aware of any reason or concern, held by another person, which may make you unsuitable to work in child-related employment?

If yes, please give a brief description.Yes No

Have you ever been the subject of an Apprehended Violence Order (AVO) that was made for the purpose of protecting a child or young person from harm?

If yes, please give a brief description. Yes No

Have you ever been convicted of any criminal offence? If yes, please give a brief description.Yes No

During the last 5 years have you been the subject of formal performance management and/or disciplinary proceedings (or any action that might lead to such proceedings) in relation to your employment?

If yes, please give a brief description.Yes No

As a result of such proceedings or for any other reason, have you ever been suspended, dismissed or asked to resign from your position?

If yes, please give a brief description.Yes No

Have you ever had your registration, licensing or classification as a teacher or any other entitlement to teach cancelled or suspended or withdrawn in Australia or any other country? Yes No
Have you ever been refused registration, accreditation, licensing, or classification as a teacher in Australia or any other country? Yes No
Do you have an illness, injury, chronic condition, psychological/emotional condition, or requirement for regular medication that may impact on your capacity to carry out the full requirements of the position for which you are applying, or that may be aggravated or worsened by the duties of the position?

If yes, please provide details. Yes No

Have you in the last 3 years had 10 or more consecutive days leave for sickness that may be relevant when considering your application?

If yes, please provide details, including dates.Yes No

Do you have any significant vision, voice or hearing loss or impairment that may impact on your capacity to carry out the full requirements of the position for which you are applying, or that may be aggravated or worsened by the duties of the position?

If yes, please provide details, including dates.Yes No

Have you ever been a recipient of workers compensation payments or benefits (wages, medical expenses or injury lump sum compensation)?

If yes, please provide details.Yes No

Have you ever been rejected or deferred as medically unfit for employment or medically retired from employment?

If yes, please provide details, including dates.Yes No

Is there any other information regarding your health history that may need to be known when considering your application for employment?

If yes, please provide details. Yes No

HEALTH AND EMPLOYMENT DECLARATION

I understand that if further medical information is required I may be asked to give written authorisation for the Wollongong Catholic Education Office to seek relevant medical information. I acknowledge that any wilful suppression or inaccuracy may result in non-acceptance of this application and/or termination of employment.

I declare that the information contained in this health and employment declaration and any other documents(s) provided in support of it is true and correct in every respect.

Applicant’s Signature:______Date:

SECTION 8NOMINATED REFEREES

It is the policy of the CEO for applicants for positions to provide the names of three referees.

Ideally applicants for all positions would be able to provide a suitable faith referee. The CEO also requires that applicants provide their most recent Principal or Employer as a second referee as well as one additional professional referee.

Should you require further advice regarding suitable referees, please contact the Recruitment & Selection Team on 02 4253 0837 or 02 4253 0957.

MOST RECENT PRINCIPAL/EMPLOYER
Name: / Position:
Organisation:
Phone: / Mobile:
Email:
PARISH PRIEST or MINISTER or ANOTHER SIGNIFICANT PERSON
Name: / Position:
Organisation:
Phone: / Mobile:
Email:
OTHER
Name: / Position:
Organisation:
Phone: / Mobile:
Email:

I understand that the Catholic Education Office reserves the right to contact any previous employer other than the referees nominated above.

Applicant’s Signature:______Date:

SECTION 9DOCUMENT CHECK

Listed below are the documents required to complete this application. You are required to submit either:

a)original documents which the employer will photocopy and mark as a true copy for the employment file

b)Certified copies of the original documents – only photocopies carrying the original signature of the justice of the peace will be acceptable.

Documents being submitted (indicate by marking the box)

1.Teaching Qualification

2.University or College Final Transcript of Academic Results indicating eligibility for the award (if applicable)

3.Evidence of Religious Education Qualifications (if applicable)

4.Evidence of Other Training (if applicable)

5.Other Degrees, Diplomas or Certificates including First-Aid Certificate (if applicable)

6.NSW Institute of Teachers Statement of Eligibility(if applicable)

7.Reports of Efficiency as a teacher and/or Practice Teaching Reports (if applicable)

8.Statement(s) of Service (if applicable) - showing:

a)Commencement Dates

b)Termination Dates

c)Whether service was Full-Time or
Part-Time or Casual

d)For Part-Time or Casual details of
hours/days worked

9. Official transcripts relating to English Language proficiency IELTS, PEAT or ISLPR. For more information see (ifapplicable)

10. For new CEO employees in ‘child-related work’ – Provide your Working With Children Check (WWCC) clearance details for CEO to verify before you can commence work. See How to apply for the new Check. Details of your Working With Children Check should be entered on page 1 of this job application form.

11. Proof of identity, equal to 100 points of documents as listed below.

NB:* Certified copies of original documents are acceptable for birth certificates or citizenship certificates, but certified copies are not acceptable for other identifying documents.

70 POINTSCurrent Passport OR Birth Certificate* OR Citizen Certificate* (Only One)

40 POINTSCurrent Drivers Licence

Current tertiary education student ID card

“Acceptable referee” verifying the applicant’s identity
seeAUSTRAC Acceptable Referee Categories

25 POINTSCurrent credit card or account card from a bank, building society or credit union

Medicare Card

Foreign drivers licence

Local council rates notice

12.The employer requires that at least one document provided must contain a photograph integrated into the document (eg, current photo drivers licence or current passport)

13.If original documents are submitted in your maiden name, the employer requires a certified copy of your marriage certificate for verification purposes (if applicable)

Applicant’s Signature:______Date:

SECTION 10DECLARATION BY APPLICANT

Employment in systemic schools is child-related work. By submitting this application, I am agreeing that there is no reason for the employer to believe I am not suitable to work in child-related work. If any information not disclosed in this application is brought to the attention of the employer, my application may be reviewed and/or employment may be terminated.