Personal details

Position applied for:

Title

First Name

Last Name

Are you an international applicant?

No

Yes

Address Line One

Address Line Two

State

Postcode

Home address

Postal Address (if different to above)

Phone

After Hours

Email

Please specify:

Do you have the right to work in Australia?

Yes, I am an Australian Citizen or permanent residence

Yes, I hold a valid work visa

No

Type

Expiry Date

Do you consent to us checking your ‘Right to Work’ status with the Department of Immigration and Citizenship?

Yes

No

Are you currently registered with the Teachers Registration Board of South Australia?

Yes

No

Do you have any physical disability, medical condition or any other condition which may affect your ability to perform the inherent requirements of this role?

Yes

No

If yes, please provide details:

Will you agree to undergo a medical examination (at the School’s cost) if requested, to determine whether you have the capacity to perform the inherent requirements of this role?

Yes

No

Have you ever been charged with a criminal offence?:

Yes

No

If yes, please provide details:

Evidence of a criminal history, that may be unrelated to any risk of harm to children, will not automatically preclude a person from being or remaining employed.

Have you ever been dismissed, disciplined or resigned from any employment, consultancy or voluntary activity following allegations that you were involved in improper conduct of a sexual nature or otherwise with a student or child?

Yes

No

Employment

Current Role

Organisation

Teaching and Other Relevant Qualifications

Referees

Please provide two referees that are able to comment on your skills in relation to the selection criteria:

Referee 1

Name

Organisation

Position

Phone

Email

Referee 2

Name

Organisation

Position

Phone

Email

I give my permission to conduct reference checks as part of the shortlisting process, prior to interview.

Yes

No

Our process may include asking referees whether there are any child protection concerns in regards to your employment. Do you foresee any problem arising from this process?

Yes

No

If yes, please provide details:

Please refer to our Child Protection Policy.

Will you be able to satisfy child protection screening and adhere to the School’s Child Protection Policy?

Yes

No

Application

Please upload your application (one combined document only). At a minimum, letter of application and CV in PDF format (max. size 10MB):

Acknowledgement

Please refer to our Privacy Policy and Privacy Act – Employment Collection Notice.

I acknowledge that I have read and understood the Privacy Policy and Privacy Act – Employment Collection Notice.

Declaration by applicant

I declare:

a) The answers to the foregoing are to the best of my knowledge true and correct in every way.

b) If my application for employment is successful I will be bound by and will at all times observe and respect such terms and conditions of my employment and such policies and rules as may from time to time be promulgated, specified or otherwise stipulated by my employer.

c) I understand that any erroneous or false declaration made by me in this application may result in the withdrawal of an offer of employment, disciplinary action, or possible dismissal.

d) I understand that if my application is successful my employment may be subject to a satisfactory pre-employment medical assessment provided by the School’s nominated healthcare professional organisation (such examination will be paid for by the employer).

Please note it may take a couple of minutes to process your submission.

A confirmation message will appear on the following page when your application has been successfully submitted.

A confirmation email will be sent to the address listed above when the application has successfully been submitted. Please be advised that the email may inadvertently appear in the Junk folder.

If you do not receive a confirmation email – please re-submit. Alternatively email jobs@pembroke.sa.edu.au to check that your submission has been received.