TEACHING APPLICATION FORM Please enable JavaScript in your browser to complete this form.I would like to apply for the following advertised position.Personal DetailsTitle *Please selectMrMsMrsDrName *FirstLastAddress *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone *Email *VIT Registration Number *Expiry *Accreditation to Teach Religious Education in a Catholic School *YesNoRegistration NumberAccredited to Teach in a Catholic School *YesNoRegistration Number Current EmploymentSchool NameSchool AddressSchool Telephone NumberCurrent RoleDurationEmailPrevious EmploymentYears / Name of employer / Teaching Duties / Leadership Role ? Full time or Part Time (If Applicable)QualificationsQualifications Gained (Please include institution and date of completion)Please attach copies of Degrees, Diplomas, Certificates and Transcripts (Files must be less than 5MB) Click or drag a file to this area to upload. Current Study (If applicable)Name of CourseInstitutionCommencement DateExpected CompletionTeaching SubjectsTeaching Subjects Name / Year LevelsInterestsMembership of Professional, Parish, Community Organisations, Sporting Activities … etc.Names of Three RefereesReferee Details (1)NamePositionPhoneEmail *Relationship to RefereeReferee Details (2)NamePositionPhoneEmail *Relationship to RefereeReferee Details (3)NamePositionPhoneEmail *Relationship to RefereePre-Employment Disclosure QuestionsIt is an inherent requirement of the position that you be a person suitable to work in child-connected work. Each of the following questions are relevant to the prospective employer understanding and determining your likely ability to carry out the inherent requirements of the advertised position. You must answer each question.1. Have you ever had any disciplinary action taken against you by an employer (e.g. received a warning or had your employment terminated) in relation to any inappropriate or unprofessional conduct? *YesNoIf you have ticked yes in a field. Please supply further information.2. Have you ever been the subject of an allegation of inappropriate or unprofessional conduct which has been substantiated by an employer or other body? *YesNoIf you have ticked yes in a field. Please supply further information.3. Have you ever been found guilty of a criminal offence or are you currently facing criminal charges? *YesNoIf you have ticked yes in a field. Please supply further information.4. Do you consent to the prospective employer contacting the appropriate person at any or all of your current or former employers (including 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 above and to ask about your suitability to work with children? *YesNoIf you have ticked yes in a field. Please supply further information.Supporting DocumentsAttach Cover Letter (Files must be less than 5MB) Click or drag a file to this area to upload. Attach CV (Files must be less than 5MB) * Click or drag a file to this area to upload. Statement I declare that the contents of this form are true and correct and complete to the best of my knowledge and no information concerning my employment history has been withheld. I understand that any wilfully incorrect or misleading answer or material omission which relates to any of the questions in this form may make me ineligible for employment, or if employed, liable to disciplinary action which may include dismissal. I understand that all applicants are required to undergo background screening which may include a National Police Record Check. I consent to such screening and checks in connection with my application for employment. I consent to the prospective employer making inquiries of any current and/or previous employers in connection to the information and answers I have provided in this form to verify the accuracy of the information in this form and to confirm my ability to carry out the inherent requirements of the position including my suitability to perform child-connected work. I understand and accept that my appointment to this position requires compliance with the school's child-safe policy and code of conduct. I have read and understand the school's child-safe policy and code of conduct. I understand and accept that my appointment to this position requires a commitment to Catholic Education. I have read and understand the Statement of Principles regarding Catholic Education.Declaration *I understand and accept the terms of the application agreementToday's DatePrivacy NoticeYour privacy is important to us. Information recorded on this document will be used exclusively for the intent of the document. A full copy of the Privacy Policy is available from the College Website. If you provide us with personal information, for example your name and address or information contained on your CV we will collect the information in order to assess your application. We understand that you are in agreement that we may store this information indefinitely if you are appointed to the College or for a period of twenty-four months after receipt of application if you are not appointed to a position. You may seek access to your personal information that we hold concerning you if you are unsuccessful for the position. However, there may be occasions when access is denied. Such occasions would include where access would have an unreasonable impact on the privacy of others. We will not disclose this information to a third party without your consent. It is a requirement that all successful applicants gain a satisfactory National Criminal Record Check prior to commencement of work at the College. You will agree to supply the required information for the College to ascertain that you meet the satisfactory requirement of the National Criminal Record Check. If you provide us with the personal information of others, we encourage you to inform them that you are disclosing that information to the College and why, that they can access that information if they wish and that the College does not usually disclose the information to third parties. St Joseph's College Mildura holds the safety, wellbeing and inclusion of all children and young people, including those with disability as a central and fundamental responsibility of catholic Education.Submit Application