REFEREES (Please include your Parish Priest or Minister as a Referee)* Name Position Organisation Telephone INTERESTS Membership of Professional, Parish, Community Interests, Sporting Activities, Interests etc. Organisations *Please note we reserve the right to contact other referees as required SUPPORTING STATEMENT Please attach a Supporting Statement and Resume along with a copy of your Working with Children Check and current National Police Check. ARE YOU CURRENTLY RECEIVING WORKCOVER PAYMENTS Yes No PRE EMPLOYMENT DISCLOSURE QUESTIONS It is an inherent requirement of the position that you be a person suitable to work in a school. Each of the following questions are relevant in determining your likely ability to carry out the inherent requirements of the advertised position. You must answer each question. Have you ever had any disciplinary action against you by an employer (e.g. received a warning or had your employment terminated) in relation to any inappropriate or unprofessional conduct? Yes No If yes, please provide details: Have you ever been the subject of an allegation of inappropriate or unprofessional conduct which has been substantiated by an employer or other body? Yes No If yes, please provide details: Have you ever been found guilty of a criminal offence or are you currently facing criminal charges? Yes No If yes, please provide details: Do you consent to the prospective employer contacting the appropriate person at any or all of your current or former employers (including Principal any retired person who at the relevant time may have been employed by a former employer) to confirm the accuracy of your answers in Questions 1 3 and to ask – about your suitability to work with children? Yes No If no, this will be discussed further if you are offered an interview.
REFEREES (Please include your Parish Priest or Minister as a Referee)* Name Position Organisation Telephone *Please note we reserve the right to contact other referees as required INTERESTS Membership of Professional, Parish, Community Organisations Interests, Sporting Activities, Interests etc. SUPPORTING STATEMENT Please attach a Supporting Statement and Resume along with a copy of your Working with Children Check and current National Police Check. ARE YOU CURRENTLY RECEIVING WORKCOVER PAYMENTS Yes No PRE EMPLOYMENT DISCLOSURE QUESTIONS It is an inherent requirement of the position that you be a person suitable to work in a school. Each of the following questions are relevant in determining your likely ability to carry out the inherent requirements of the advertised position. You must answer each question. Have you ever had any disciplinary action against you by an employer (e.g. received a warning or had your employment terminated) in relation to any inappropriate or unprofessional conduct? No Yes If yes, please provide details: Have you ever been the subject of an allegation of inappropriate or unprofessional conduct which has been substantiated by an employer or other body? No Yes If yes, please provide details: Have you ever been found guilty of a criminal offence or are you currently facing criminal charges? No Yes If yes, please provide details: Do you consent to the prospective employer contacting the appropriate person at any or all of your current or former employers (including Principal any retired person who at the relevant time may have been employed by a former employer) to confirm the accuracy of your answers in Questions 1 – 3 and to ask about your suitability to work with children? No Yes If no, this will be discussed further if you are offered an interview.