St Patrick's College Employment Application Form

EMPLOYMENT APPLICATION FORM
Staff role
Position applied for:
Please upload your cover letter

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Please upload your resume

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PERSONAL DETAILS
Surname
First name
Title
Ms/Mrs/Miss/Mr/Dr
Date of birth

DayMonthYear
Former names:
e.g. mainden name/alias
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address (if different from home address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Mobile
Format: 0000 000 000.
Email
example@example.com
Aboriginal or Torres Strait Islander origin:
RELIGION
Not all staff members at St Patrick's College are Catholic. Every staff member is, however, expected to actively support the Catholic ethos of the school.
Religion
Parish / Church
Do you have a reasonable knowledge of and support for the ethos of St Patrick's College which is a Catholic College of Good Samaritan Education
HEALTH
Do you have a medical condition/disability which may prevent you from performing the role for which you have applied at St Patrick's College?
Please provide details
Have you had any previous workers compensation claims?
Please provide details
CRIMINAL HISTORY CHECK

The Commission for Children and Young People Act 1998 makes it an offence for a prohibited person (a person convicted of a serious sex offence, the murder of a child or a child-related personal violence offence, as well as a registrable person under the Child Protection (Offenders Registration) Act 2000) to apply for or otherwise attempt to obtain, undertake or remain in, child-related employment.
DECLARATION

I hereby decare that I have:

Rows	Yes	No
Convictions of sexual and/or drug offences
Convictions of other criminal offences within the last ten years
Child sexual assault charges dealt with under Section 556A of the NSW Crime Act 1990
Child sexual assault charges under other Acts
Charges that have not been heard carrying a penalty of 12 months or more imprisonment
Been subject to disciplinary action in relation to sexual misconduct or harassment

Education

Rows	Degree, Diploma or Certificate	Name of Institute	Years attended
1
2
3
4
5

Please upload your academic transcripts

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NESA accreditation level
NESA account number
Please upload your NESA accreditation document

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Please upload your NESA accreditation number

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Date your accreditation cycle expires

DayMonthYear
Working With Children Check

St Patrick's is a child related employer so our employees must have a valid Working With Children Check
Do you hold a current Working With Children Check?
Working With Children Check number
Expiration date of your WWCC

DayMonthYear
The successful applicant will require a valid Working With Children Check number.
FIRST AID
Do you hold a current first aid certificate?
Expiration date of your first aid certificate

DayMonthYear
Please upload your first aid certificate here

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EMPLOYMENT

Rows	From	To	Name of employer	Position held
1
2
3
4
5

REFEREES
Current employers of preferred candidates will be contacted for a reference check. Have you advised your current Principal (if applicable) and referees of your application for this position?
Referee 1's name
Place of employment
Work phone number
Mobile
Format: 0000 000 000.
Referee 2's name
Place of employment
Work phone number
Mobile
Format: 0000 000 000.
Referee 3's name
Place of employment
Work phone number
Mobile
Format: 0000 000 000.
DECLARATION
I certify that the information provided is complete and correct. I understand that deliberate inaccuracies or omissions may result in non-acceptance of this application and/or termination of employment.
Signature
Date

DayMonthYear
Please ensure you have attached all required documentation before submitting.

If you have any questions, please email employment@saintpatricks.nsw.edu.au
Should be Empty:

EMPLOYMENT APPLICATION FORM

PERSONAL DETAILS

RELIGION

HEALTH

CRIMINAL HISTORY CHECK

DECLARATION

Education

Working With Children Check

FIRST AID

EMPLOYMENT

REFEREES

DECLARATION