View form St Peter's Anglican

Please indicate the casual position title *

If you are applying for an advertised position, where did you see the advertisement?

Please tick as appropriate

St Peter's Website

Local Newspaper

Word of Mouth

Seek

Christian Jobs

Social Media

Other:

PERSONAL DETAILS

Title: *

Family Name: *

Given Name(s): *

Previous Name (if applicable):

Date of Birth: *

Email (personal): *

Permanent Address: *

Telephone (Home):

Telephone (Mobile):

Telephone (Work):

CITIZENSHIP

Citizenship Country: *

CHURCH AFFILIATION

Religious Denomination: *

Church Attended: *

I am a committed Christian who regularly attends Church? *

Yes

No

CURRENT EMPLOYMENT DETAILS

Name of Employer:

Position Title:

Start Date:

End Date:

Position bases:

Full Time

Part Time

Permanent

Temporary

Casual

Reason for Leaving:

PAST EMPLOYMENT DETAILS

1- Name of Employer:

1- Position Title:

1- Start Date:

1- End Date:

1- Position bases:

Full Time

Part Time

Permanent

Temporary

Casual

2- Name of Employer:

2- Position Title:

2- Start Date:

2- End Date:

2- Position bases:

Full Time

Part Time

Permanent

Temporary

Casual

QUALIFICATIONS

Note: Certified copies to be provided if successful for interview.

1- Qualification Title and Level Attained:

Course Level Attained: (Degree/Diploma/Certificate)

1- Provider/Institution:

1- Year Completed:

2- Qualification Title and Level Attained:

Course Level Attained: (Degree/Diploma/Certificate)

2- Provider/Institution:

2- Year Completed:

PROFESSIONAL DEVELOPMENT AND TRAINING COURSES

Please list significant Professional Development and Training courses undertaken in the past five (5) years.

1- Name of Course:

1- Provider Institution:

2- Name of Course:

2- Provider Institution:

3- Name of Course:

3- Provider Institution:

4- Name of Course:

4- Provider Institution:

Unique Student Identifier (USI) number (if known)

Do you have a First Aid Certificate?

WORKING WITH CHILDREN CHECK

Positions in schools are child related positions. Should you be the successful applicant, you will not be employed until you have provided your “Working with Children Check” clearance number and clearance date for verification by the School. For more information on the process involved, please visit http://www.newcheck.kids.nsw.gov.au

WWCC Number:

Expiry Date:

REFEREES

Please provide the contact details of at least three (3) referees, including current Minister of religion and current employer.

1. Referee Contact Details

1- Name:

1- Organisation Name:

1- Position / Relationship

1- Contact Number:

2. Referee Contact Details

2- Name:

2- Organisation Name:

2- Position / Relationship:

2- Contact Number:

3. Referee Contact Details

3- Name:

3- Organisation Name:

3- Position / Relationship:

3- Contact Number:

DECLARATION BY APPLICANT

1- Have you ever been (or are you currently) subject to disciplinary proceedings in relation to your employment in Australia or any other Country?

1- Answer

Yes

No

2- Have you ever been convicted of an offence carrying a penalty or imprisonment?

2- Answer

Yes

No

3- Do you have any illness/injury/health problem that may render you unable to carry out the requirements of the desired position?

3- Answer

Yes

No

4- Do you have a Workers Compensation illness/injury that may render you unable to carry out the requirements of the desired position?

4- Answer

Yes

No

5- Do you have any objections to the School contacting past or current employers or referees to provide information relevant to my employment and this application?

5- Answer

Yes

No

If you have answered “yes” to any of the above questions, please provide details below:

Provide details:

If you have answered “yes” to any of the above questions, please provide details

APPLICANT'S ACKNOWLEDGEMENT

I certify that the information provided by me in this Application Form is true and correct. I understand that any deliberate inaccuracies or omissions may result in non-acceptance of this application and/or the termination of any employment that may be offered.

Further, I acknowledge that a criminal record may affect the decision of the School to employ me. I also understand that any offer of employment is subject to a Working with Children Check clearance.

Applicant’s Name: *

Applicant’s Signature:

Date

APPLICATION CHECKLIST

Listed below are documents that must be uploaded as part of your application.

If you are invited to attend an interview, you will be required to bring 100 point identification and original qualifications.

Please upload a copy of all documents below for the school’s records.

Curriculum Vitae (no more than 3 pages)

Curriculum Vitae

Covering Letter (1-2 pages addressing the personal qualities within the position description)

Covering Letter

Statement of personal Christian Faith

EMPLOYMENT PRIVACY

St Peter’s is bound by the Australian Privacy Principles (APP) contained in the Commonwealth Privacy Act. In relation to health records, the School is also bound by the NSW Health Privacy Principles which are contained in the Health Records and Information Privacy Act 2002 (Health Records Act).

Collection of Personal Information

In relation to personal information of job applicants and contractors, the School's primary purpose of collection is to assess and (if successful) to engage the applicant or contractor, as the case may be. The purposes for which the School uses personal information of job applicants and contractors include:

- in administering the individual's employment or contract, as the case may be
- for insurance purposes
- seeking donations and marketing for the School
- seeking donations and marketing for the School
- to satisfy the School's legal obligations, for example, in relation to child protection legislation

Use of Personal Information

This information is used to fill open positions within the School as the need arises. Information provided to the School in respect to an application for employment will be kept by the School for a period of one year, after which the documentation of unsuccessful applicants will be properly disposed of. Applications will not be returned to the applicant, unless specifically requested in writing.

Disclosure of Information

From time to time, it may be necessary to disclose personal information in the course of the employment process. An example of this may be contacting the referees supplied to provide work related references.

Exception in relation to Employee Records

Under the Privacy Act and Health Records and Information Privacy Act 2002 (NSW), the Australian Privacy Principles and Health Privacy Principles do not apply to an employee record. As a result, this Privacy Policy does not apply to the School's treatment of an employee record, where the treatment is directly related to a current or former employment relationship between the School and employee.

Management and Security of Personal Information

The School has in place steps to protect the personal information the School holds from misuse, interference and loss, unauthorised access, modification or disclosure by use of various methods using locked storage of paper records and password access rights to computerised records.

(Extract from the Privacy Policy - version 4.0 February 2020)

HEART - Casual Professional Staff Application Form