Application for Employment - Teacher

BELLFIELD College

APPLICATION FOR EMPLOYMENT TEACHER

Please email your completed application form with your resume, NESA Teaching accreditation letter and 100 points of identification to hr@bellfield.nsw.edu.au Proof of Identity

Proof of Identity (this requires evidence to 100 points as per the list below). At least one document must contain a photograph.

•

70 points

•

40 points

•

25 points

Current Australian Passport OR Australian Birth Certificate (Only one) Current Australian Driver’s License or NSW PhotoID Foreign Driver’s License OR Any other identity card photo or Medicare Card or utility bill

APPLICANT DECLARATION

Each question must be answered and ticked either YES or NO. If YES, details must be provided, and you may be contacted for further details. Each declaration must be answered and signed.

1. PERSONAL DETAILS Family Name: Given Name/s: Title: (Mr, Mrs, Ms, Miss, Dr etc) Date of Birth: Permanent Address: Email Address: Phone Number:

Home:

Mobile:

COVID-19 Vaccination status?

□ YES □ NO https://legislation.nsw.gov.au/file/Public%20Health%20%28COVID19%20Vaccination%20of%20Education%20and%20Care%20Workers%29%20Order%202021.pdf

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Are you of Aboriginal or Torres Strait Islander origin?

□ No □ Aboriginal □ Torres Strait Islander Australian Resident:

□ Yes □

No

2. ACCREDITATION

Are you registered with NESA?

☐ YES

☐ NO

What is your NESA number?

NESA Expiry Date Section

☐ Primary ☐ Secondary ☐ ☐ ☐ ☐ ☐

Conditional Provisional Proficient Highly Accomplished Lead

What is your membership status with NESA?

☐ ☐ ☐ ☐

Active Leave of Absence Mutual Recognition Other. Please specify

Do you have any outstanding fees yet to be paid to NESA?

☐ YES

☐ NO

It is an inherent requirement of the role that Teachers are proficient in English. Are you proficient in English?

☐ YES

☐ NO

What is your current accreditation level?

If you have undertaken the International English Language Testing System (IELTS), or International Second Language Proficiency Rating (ISLPR), please attach a copy of your results.

Did you teach before 1 October 2004?

If YES, have you taught in the past 5 years?

Teacher Classification (Band or step)

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3. WORKING WITH CHILDREN CHECK The Working With Children Check (WWCC) is a requirement for anyone who works or volunteers in childrelated work in NSW. It involves a National Police Check (criminal history record check) and a review of reportable workplace misconduct.

WWCC Number: Expiry Date: Type of Clearance: Date of Birth: For further details, please visit: https://www.service.nsw.gov.au/transaction/apply-working-children-check

4. QUALIFICATIONS In what areas are you qualified to teach?

□ Primary

□ Secondary

Tertiary Education

Subject Areas:

(including current incomplete courses)

Name and Location of Institution

Award

Year of Completion

Please provide copies of academic transcripts Please provide certified copies of evidence that qualifications gained overseas are recognised by NESA Significant Professional Development Courses undertaken in the last five years Name of course

Course Provider

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Year of Course

5. EMPLOYMENT DETAILS Employment History Year you commenced teaching School of last employment (if applicable) Past Employment – From

To

Name of Employer

Full-Time, Part-time or Temporary

6. REFEREES AND REFERENCES Referees Information must be provided to be considered for the position.

Name

Company/Position/Relationship

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Contact Number

7. EMPLOYMENT SCREENING

Teaching positions are child related positions. Child Protection Legislation requires preferred applicants to be subject to employment screening.

Working With Children Check numbers need to verified by the College before a person can commence working at the College.

Declaration:

Yes

Have you ever had your registration, licensing or classification as a teacher suspended or cancelled in Australia or any other country?

Have you ever been refused registration, accreditation, licensing or classification as a teacher in Australia or any other country?

Have you ever been asked to resign in Australia or any other country?

Have you been convicted of an offence that would bar you from child related work?

Are you currently subject to any criminal investigations that may impact your ability to engage in child related work?

Have you ever had a Working with Children Check (WWCC) clearance revoked or cancelled or been the subject of an interim bar? Note – The Working With Children Check has different names in some States and Territories in Australia.

Have you ever been informed of, or been the subject of, a risk assessment being conducted into your suitability to hold a WWCC (however named)?

Have you ever been subject of a finding that you breached your professional boundaries and/or a Code of Conduct?

Have you ever been (or are you currently) the subject of disciplinary proceedings in relation to your employment in Australia or any other country?

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

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

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

If you have answered yes to any of the following questions, please attach details.

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No

8. EMPLOYMENT DOCUMENT CHECKLIST

Document

Yes

No

Academic Transcript University Graduation Certificate Working with Children Check Number Australian Immunisation COVID-19 digital certificate Document of residency/Visa (if applicable) NESA Statement of Service (eTams) ‘100 point’ proof of identity Other Degrees, Diplomas or Certificates including First Aid Certificate Professional Referee details

Please read and sign the following: I certify that the information provided by me in this Application Form is complete and correct in every detail, and I understand that deliberate inaccuracies or omissions may result in non-acceptance of this application and/or the termination of any employment offered.

Applicants Name:

Applicants Signature:

Date:

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