Form: Employee Details
Personal Details
Full name
*
First Name
Middle Name
Surname (Last Name)
Date of Birth
*
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Identification
*
UPLOAD: Primary Photo Identification (This can only be: An Australian Driver's Licence, an Australian Passport or a Foreign Passport showing photo identification)
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UPLOAD: A copy of your Australian Visa if you are a Foreign Passport holder.
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UPLOAD: Secondary identification here (E.g. this could be a Queensland Photo Identification Card or Foreign Driver's License).
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*
Blue Card (Working With Children Check)
Blue Card Identification Number
*
Blue Card Expiry Date
*
UPLOAD: A copy of your Blue Card or Working With Children Check.
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*
Police Clearance Certificate
Date of National Police Clearance Check
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
NOTE Date can not be older than 6 months.
National Police Check Reference Number (NPC Reference):
*
E.g. 11029833PC
UPLOAD: A copy of your National Australian Police Clearance Certificate here.
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*
Qualifications & Experience
Qualification in Early Childhood Education. Chose those that apply below.
*
Enrolled & Currently Studying Certificate III in Early Childhood Education at a Registered Training Organisation
Enrolled & Currently Studying Diploma in Early Childhood Education at a Registered Training Organisation
Enrolled in a Graduate Diploma of Early Childhood Teaching at a Registered Training Organisation
Completed a Certificate III in Early Childhood Education
Completed a Diploma in Early Childhood Education
Completed a Graduate Diploma of Early Childhood Teaching
Other (Write he name of the course / qualification and the Training Institute below).
If you have completed an Early Childhood Qualification: When did you complete your highest qualification? E.g. Diploma.
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
UPLOAD: A copy of your Statement of Attainment here.
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If you are enrolled in a Early Childhood course at a Registered Training Organisation: When did you start your studies?
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
UPLOAD: Confirmation of your current enrolment in the course here.
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CHILD PROTECTION: Upload Confirmation of your Child Protection Certificate (must have been completed within the last 12 months)
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SAFE SLEEP: Upload Confirmation of your completed Red Nose Safe Sleep Certificate (must have been completed within the last 12 months)
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FOUNDATIONS OF CHILD SAFETY (GECCKO): Upload a copy of your Foundations of Child Safety Certificate (must have been completed within the last 12 months).
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FIRST AID CERTIFICATE: Upload a current copy of your First Aid Certificate.
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CPR CERTIFICATE: Upload a current copy of your CPR Certificate.
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ANAPHYLAXIS CERTIFICATE: Upload a copy of your Anaphylaxis Training Certificate (completed with the last 12 months)
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FOOD SAFETY: Upload a copy of your Do Food Safety Certificate (completed within the last 12 months)
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DIABETES TRAINING: Upload a copy of your Diabetes Certificate.
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DISABILITY AWARENESS TRAINING: Upload a copy of your disability awareness certificate.
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SUN SAFETY: Upload a copy of your Sun Safety Certificate.
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COMMITMENT TO PROTECTING CHILDREN: Upload a signed copy of your Commitment to Protecting Children document.
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Bank Account Details
BSB Number
*
Bank Name
*
Branch Location
*
Account Number
*
Superannuation Details
Superannuation Institution Name
*
E.g. Australian Super
Institution ABN Number
*
E.g. 65 714 394 848
Institution USI Number:
*
E.g. STA0100AU
Super Institution's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Super Institution's Phone Number
*
-
Area Code
Phone Number
Your Membership Number:
*
E.g. 1075 199 655
Pay Details
Your Tax File Number (TFN)
*
E.g. 744 501 295
Pay Rate (if known)
E.g. $25.67
Scheduled Commencement Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Today's Date
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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