Position Applied For

Teaching or Non-Teaching *

TeachingNon-Teaching

Vacancy Title *

Personal Details

First Name

Middle Name

Last Name

Preferred Name

Date of Birth *

Address *

Street address *Street address line 2

City *

State *

Postcode *

Email (Personal) *

Phone (Personal)

Phone (Business)

Mobile *

I certify that I am legally authorised to work in Australia *

Visa Details (If Applicable)

Church Details

Church You Attend

Attending Since

Pastoral Referee Name

Pastoral Referee Contact Number

Please upload a Pastor's Reference

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If you are unable to provide a Pastor’s Reference, please briefly outline your experience and understanding of the Christian Faith

Compliance Pre-Requisites

TRBWA *

YesNoPending

Registration Number *

Expiry Date *

Upload a copy of your TRBWA *

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Working with Children Check *

YesNoPending

Registration Number *

Expiry Date *

Upload a copy of your WWCC *

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National Police Clearance *

YesNoPending

Registration Number *

NPC Expiry Date *

Upload a copy of your NPC *

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Do you have any criminal convictions, cautions, or other legal or pending cases, including any formal disciplinary action taken against you, or any finding of improper or unprofessional conduct made against you, which may affect your suitability to work with children? *

YesNo

Previous Employment History

If applicable, please supply details of your two previous employers and any positions held.

Previous Employer (1)

Name

Position/s Held

Commenced Employment

Ceased Employment

Reason for Leaving

Previous Employer (2)

Name

Position/s Held

Commenced Employment

Ceased Employment

Reason for Leaving

Professional Referees

Please provide two professional referees.

Professional Referee (1)

Name *

Company *

Position *

Contact Phone Number *

Professional Referee (2)

Name *

Company *

Position *

Contact Phone Number *

Workers Compensation

Have you previously suffered an injury or illness that has resulted in a worker's compensation claim? *

YesNo

Please give details *

Supplemental

Upload Cover Letter *

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Upload CV *

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Declarations

I hereby certify that the information given by me in this application form is true and complete in every respect. *

I acknowledge that any statement that is found to be false or deliberately misleading will make me, if employed, liable for dismissal. *

I authorise investigation of all statements contained in this application. *

Signature

Applicant's Name *

Signature *

Clear

Date *

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