Teaching Employment Application

Please fill in every field or the form will not submit.

Applicant Personal Details

Position Applying For:

Title

First name

Middle Name

Last name

Street Number and Name

Suburb/City

State

Postcode

Postal Address

Mobile number

Email address

Date of Birth

Have you ever been employed by LORDS?

Additional Personal Information

Are you currently registered with the Queensland College of Teachers?

If yes, QCT Registration Number:

Registration Expiry Date:

Criminal ConvictionsHave you ever been convicted in a court of law for any offence, other than a traffic offence which you do not have to disclose by virtue of the provision of the Criminal Law (Rehabilitation of Offenders) Act 1986? If yes, you will be required to submit details in an envelope marked 'Confidential'

Other EmploymentAre you currently on leave from any Commonwealth, State Government department or private sector organisation? If yes, please attach a statement.

Other Employment StatementPlease upload your 'Other Employment Statement'

Current Employment

Employer:

Position Held:

Work Status

Date Employed From:

Date Employed To:

Is Your Current Employer Aware of This Application?

(1) Teaching Employment History

(1) Employer:

(1) Position Held:

(1) Work Status: Full time, Part time, Casual

(1) Date Employed From:

(1) Date Employed To:

(1) Reason for Leaving:

(2) Teaching Employment History

(2) Employer

(2) Position Held:

(2) Work Status: Full time, Part time, Casual

(2) Date Employed From:

(2) Date Employed To:

(2) Reason For Leaving:

Qualifications

(1) Qualification

(1) Name of Institution

(1) Course Completion - Date/Year

(2) Qualification

(2) Name of Institution

(2) Course Completion - Date/Year

Referees

(1) Professional Referee Name

(1) Professional Referee Position

(1) Professional Referee Contact Details

(2) Professional Referee Name

(2) Professional Referee Position

(2) Professional Referee Contact Details

(1) Personal Referee Name

(1) Personal Referee Relationship to you

(1) Personal Referee Contact Details

Interests and Hobbies

Outside Activities / Hobbies / Interests

Declaration

Do you agree with the following statement?I certify that the information contained in this application is a true and correct statement of my particulars, qualification, training, experience and competencies. I understand that statements found to be false within my knowledge may make me liable for immediate dismissal.

Supporting Documents

Please upload your cover letter herePlease only upload PDF or DOC format

Please upload your Resume herePlease only upload PDF or DOC format