View form St Peter's Anglican

A variety of Peripatetic Tutors are approved to provide tuition during school hours.

MUSIC TUTOR SECTION

Do you teach by AMEB or Suziki method:

What theory or musicianship level have you completed:

Can you teach theory and musicanship?

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

TUTORING OR EMPLOYMENT HISTORY

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

3- Name of Employer:

3- Position Title:

3- Start Date

3- End Date

3- Position bases

Full Time

Part Time

Permanent

Temporary

Casual

AVAILABILITY

Available Working Days

Monday

Tuesday

Wednesday

Thursday

Friday

Prefered times

QUALIFICATIONS

1- Qualification Title

1-Course Level Attained:

Course Level Attained: (Degree/Diploma/Certificate)

1- Year Completed:

2- Qualification Title

2- Course Level Attained:

Course Level Attained: (Degree/Diploma/Certificate)

2- Year Completed:

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:

VACCINATION

Please indicate if you have recieved full vaccination for COVID-19: *

Yes

No

REFEREES

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

1- Name:

1- Organisation Name:

1- Position / Relationship

1- Contact Number:

2- Name:

2- Organisation Name:

2- Position / Relationship:

2- Contact Number:

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 and providing the School with a copy of my vaccination certificate.

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)

Proof of Citizenship/Australian Residence (eg birth certificate, passport or visa)

Cover Letter (1-2 pages) addressing your experience in the field

Statement of Service showing commencement dates, termination dates, whether service was full-time, part-time, or casual

Statement of personal Christian Faith

Covering Letter

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)

1. Referee Contact Details

2. Referee Contact Details

3. Referee Contact Details

Peripatetic Tutors Application Form