15 Johnson Street FORBES NSW 2871

Telephone: 02 6853 9300 www.wf.catholic.edu.au

Catholic Education Office

Diocese of Wilcannia-Forbes

GENERAL EMPLOYEE APPLICATION FORM

(PLEASE COMPLETE THIS FORM AND SUBMIT ORIGINAL TO PRINCIPAL/CEO)

APPLICATIONS FOR PERMANENT AND TEMPORARY POSITIONS SHOULD BE SUPPORTED BY A LETTER ADDRESSING THE CRITERIA/POSITION REQUIREMENTS FOUND IN THE ADVERTISEMENT

SECTION A – PERSONAL DETAILS

Surname: Given Name/s:

Title: Former Names: (if applicable):

Date of Birth:

Religion: Current Parish:

Permanent Address:

Postcode:

Address For Correspondence:

Postcode:

Home phone: Work phone:

Mobile: E-mail:

Nationality: Australian Yes No If no, are you eligible to work in Australia ? ______

Origin: Are you Aboriginal or Torres Strait Islander? Aboriginal Torres Strait Islander Both

I AM INTERESTED IN APPLYING FOR (tick all that apply): Classroom and Learning Support Services Administration Services Operational Services - Maintenance/Grounds Cleaner

Permanent Full-time Part-time Casual Temporary

COMPLETE BELOW ONLY IF APPLYING FOR PERMANENT/TEMPORARY POSITIONS: Position(s) applying for:

Name of School:

Address of School:

I became aware of this position by:

CEO Website Newspaper Other ______Refer to Employment Collection Notice – Annexure C

“Faith Learning and Transformation in Jesus Christ” Version 1

SECTION B – EDUCATION

EDUCATION: School(s) Attended Years of Attendance Certificate(s) Awarded

OTHER QUALIFICATIONS: (including current incomplete courses): Name and Location of Institution Years of Attendance Award Conferred Date Conferred

SECTION C – EMPLOYMENT

EMPLOYMENT (in reverse order from most recent employer – no further back than 15 years): Positions Held Reason for Resignation From To Name and Address of Employment or Termination

Page 2 Version 1

SECTION D – WORKING WITH CHILDREN CHECK

Teaching positions are child-related work, and legislation requires preferred applicants to be subject to a Working with Children Check (WWCC) for paid employees.

Anyone applying for a teaching position is required to apply for a check and provide their WWCC number, prior to being eligible for employment.

To apply for a WWCC:

1. fill in an online form at www.kidsguardian.nsw.gov.au or call the helpline to have someone fill in a form for you and 2. take the application number to your local Roads and Maritime Services Office or government access centre, pay the fee (if applicable) and have your identity confirmed (you will need to take appropriate identification with you)

Working with Children Check Number: ______

Certified documentation which satisfies the ‘100 point check identification’ check will also need to be provided with this application. In most cases, certified copies of a birth certificate or passport as well as a driver’s licence will suffice.

Please contact the CEO’s Human Resources Team on (02) 6853 9300 for further assistance.

SECTION E – NOMINATED REFEREES

It is essential to nominate your two most recent employers, as applicable. A parish priest referee is desirable for all applicants.

Name School/Organisation Position Phone Number/s

SECTION F - OTHER PARTICULARS

COMMUNITY INVOLVEMENT: Provide detail on areas in which you have been involved in your parish and/or community:

Page 3 Version 1

SECTION F - OTHER PARTICULARS (CONT)

PROFESSIONAL ASSOCIATIONS: List any professional associations of which you are a member, and comment on your involvement (if any):

OTHER EXPERIENCES: Provide detail of other experiences you consider relevant to this application:

SECTION G - CHECKLIST

Listed below are the documents required to complete this application. You are required to submit, as applicable, photocopies which have been verified as true copies (certified) of the original by either of the following: i) a Justice of the Peace OR ii) a Solicitor OR iii) a Parish Priest or Principal in the Diocese of Wilcannia-Forbes

Please tick all attached:

 Certified copies of 100 points of identification (as indicated on the following page)

 Degrees, Diplomas or Certificates including First-Aid Certificate (relevant to classification of employment)

 Working with Children Check Number

 If not an Australian Citizen, evidence of eligibility to work in Australia

 Prior to commencing employment, the following will need to be downloaded and completed by the applicant and forwarded to the Human Resources Team, to ensure salary payment:

i. Banking Authority Form ii. Superannuation Form iii. Tax Declaration Form

Page 4 Version 1

Working with Children Check – ‘100 Point Check List’

______Name of Applicant Date of Birth Name of preferred applicant verified from one of the following (more than Available Points Points One document from this list cannot be counted: per item Scored 70 Birth Certificate Birth Card issued by the NSW Registry of Births, Deaths and Marriages Citizenship Certificate Current Australian Passport Expired Australian passport which has not been cancelled and was current within the preceding 2 years Current passport from another country or diplomatic documents For a preferred applicant under 18 years, one document from the above list, or the following, is sufficient Identify of the applicant verified by an educational institution, either on a student card or a letter signed by the principal, deputy principal, head teacher, deputy head teacher or enrolment officer, confirming that the applicant currently attend the institution. Name and photograph/signature of preferred applicant verified Available Points 40 Points The following (more than one document can be counted): per item Scored

Current driver photo licence issued by an Australian state or territory Identification card issued to a public employee Identification card issued by the Australian or any state government as evidence of a person’s Entitlement to a financial benefit. Name and address of preferred applicant verified from any of the Available Points 35 Points Following (more than one document can be counted): per item Scored

Document held by a cash dealer giving security over property A mortgage or other instrument of security held by a financial body Document from current employer or previous employer within the last two years Land Titles Office record

Document from the Credit Reference Association of Australia

Name of preferred applicant verified from any of the following Available Points 25 Points (more than one document can be counted): per item Scored

Current credit card or account card from a bank, building society or credit union Local council rates notices Current telephone, water, gas or electricity bill Foreign driver’s licence Medicare Card

Electoral roll compiled by the Australian Electoral Commission Lease/rent agreement Current rent receipt from a licensed real estate agent Records of a primary, secondary, or tertiary educational institution attended by the applicant within the last 10 years

Records of a professional or trade association of which the applicant is a member Total Points (points must equal or exceed a total of 100 points) Total Points

SECTION H - DECLARATION Page 5 Version 1

Have you ever been charged or convicted of any criminal offence or been the subject of any Apprehended Violence Order intended to protect a child under the age of 18 years? If yes, please provide details.

Yes No

(For applicants outside NSW) Have you ever been the subject of an allegation regarding harm to a child that resulted in notification to a statutory authority under the applicable child protection legislation? If yes please provide details.

Yes No

(For NSW applicants) Have you ever been the subject of a Child Protection investigation involving an allegation of ‘reportable conduct’ (sexual offence/misconduct, physical assault, ill-treatment, neglect or psychological harm of a child)? If yes please provide details

Yes No

Are you aware of any reason or concern, held by another person, which may make you unsuitable to work in child related employment? If yes please provide details

Yes No

During the last 5 years have you ever been the subject of formal disciplinary action and/or a formal process relating to your performance as a teacher by a school employer? If yes, please provide details.

Yes No

Page 6 Version 1

SECTION H – DECLARATION (CONT)

Do you have any illness/injury or incapacity which may impact on your ability to perform the duties or inherent requirements of the position of teacher? If yes, please provide details.

Yes No

Prior to the offer of any appointment, an applicant may be required to undergo a medical examination by a practitioner nominated by the Director of Catholic Education.

Policies:

I acknowledge my responsibility to read the following policies prior to commencing employment with the Wilcannia-Forbes Diocese.

 Privacy Policy (http://bit.ly/WFprivacy)  Workplace Internet, Email and Network Usage Policy (http://bit.ly/WFtechnology)  Right Relationships Policy (http://bit.ly/WFrelationship)

I have been provided with the Fair Work Information Statement (http://bit.ly/WFfairwork)

I certify that the information on 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 termination of employment.

APPLICANT’S SIGNATURE DATE

Page 7 Version 1

Catholic Education Office

Diocese of Wilcannia-Forbes SECTION I – BANKING AUTHORITY

BANKING AUTHORITY FOR DEPOSIT OF SALARY (PAYROLL) PAYMENTS

I hereby authorise and request the Catholic Education Office, Forbes to deposit my net salary in bank account(s) stated below.(This authority will replace any previous authority lodged.) 1.0 EMPLOYEE DETAILS PIN: Title: Surname: Full given names: Preferred Name: Date of birth

2.0 BANKING DETAILS (See reverse side of this form for information on banking details) This authority to Commence from (and including) Pay Fortnight Ending: ACCOUNT 1 Name of Banking Institution:

Branch Address: Branch Number BSB No - (Must be 3-3 Digits) Account Number (Do not use numbers on plastic cards. Maximum of 9 digits) Amount for Banking (Single Account write “ALL”/Multiple accs write AMOUNT REQUIRED )

This Account is in the name(s) of

ACCOUNT 2 Name of Banking Institution:

Branch Address: Branch Number BSB No - (Must be 3-3 Digits) Account Number (Do not use numbers on plastic cards. Maximum of 9 digits) Amount for Banking (Single Account write “ALL”/Multiple Accs write AMOUNT REQUIRED or “BALANCE”)

This Account is in the name(s) of ACCOUNT 3 Name of Banking Institution:

Branch Address: Branch Number BSB No - (Must be 3-3 Digits) Account Number (Do not use numbers on plastic cards. Maximum of 9 digits) Amount for Banking (Single Account write “ALL”/ Multiple Accs write AMOUNT REQUIRED or “BALANCE”)

This Account is in the name(s) of I understand that this authority may be changed by me at any time, by completing a new form.

SIGNATURE: DATE:

DISTRIBUTION SIGNED COPY EMAILED [email protected]

“Faith Learning and Transformation in Jesus Christ” Version 1

NOTE ON MULTIPLE BANK ACCOUNTS If you would like to take advantage of multiple Bank Accounts for your salary, you should firstly list the accounts(s) into which a fixed amount of your choice, can be sent to each Account Number. The last Account Number listed will have the balance of your salary deposited into this account. Please write “BALANCE” in the “Amount for Banking” line for this account. NOTES ON BANK NUMBERS (BSB) To identify each bank and branch, the banking system uses what is called their BSB Number. This 6 digit number is made up of two parts. The first 3 digits are the Bank Number, while the last 3 digits denote the Branch number. BANK BRANCH 999 - 999

WHERE TO FIND YOUR BSB NUMBER PASBOOK ACCOUNTS can be somewhat confusing. Some passbook accounts leave off the first two digits of the BSB number eg. an account showing 2 - 123 or 2123. would probably be 762-123. If in doubt ask your bank. STATEMENT ACCOUNTS have the BSB and account numbers listed on the top half of your statement form. If in doubt ask your bank. TABLE OF BANK NUMBERS BANKS 112-879 St George 012-XXX ANZ Bank 242-XXX Citibank 062-XXX Commonwealth Bank (Statement Accounts) 762-XXX Commonwealth Savings Bank (Passbook Savings Accounts) 082-XXX National Australia Bank 032-XXX Westpac 732-XXX Westpac BUILDING SOCIETIES & CREDIT UNIONS 637-000 Greater Building Society 802-394 Central West Credit Union 802-194 Teachers Credit Union 802-862 Police Credit Union 802-391 Reliance Credit Union

For all other banks and financial institutions, please refer to your financial institution.

Page 9 Version 1

SECTION K - DECLARATION

Employer Superannuation Arrangements For New Employees

If you do not complete this form within one calendar month after commencing employment the Australian Catholic Superannuation Retirement Fund (ACSRF) will act as the default fund.

Personal Details

Payroll (PIN) Number: School / AGSC:

Title:

Surname:

Full given names:

Address: Postcode:

Date of birth:

Election

I Authorise my employer to make contributions to the selected fund:

Australian Catholic Superannuation Retirement Fund (DEFAULT) National Catholic Superannuation Fund Non-Government School Superannuation Fund (NGS)

Choice of Super Fund is offered for funds other than those nominated above. Please refer to this link for the ATO Super Standard Choice (https://www.ato.gov.au/uploadedFiles/Content/SPR/downloads/SUPER17983Superannuation_sta ndard_choice_form.pdf). Please complete all required documentation and forward to payroll for processing.

EMPLOYEE’S SIGNATURE: DATE:

Page 10 Version 1

INFORMATION FOR NEW EMPLOYEES

Re: Employer Superannuation Contribution Arrangements

Federal government legislation requires employers to provide a minimum level of superannuation support for each employee.

Contributions can be paid into one of the established funds alone or split between the three established funds. These funds are National Catholic Superannuation Fund (NCSF), the Non-Government Schools Superannuation Fund (NGS), and Australian Catholic Superannuation Retirement Fund (ACSRF). This agreement therefore enables employees to choose the percentage of employer contribution assigned to each or either fund.

Accordingly you are asked to read and consider the following:

1. Australian Catholic Superannuaation Retirement Fund (http://www.catholicsuper.com.au) Phone: 1300 658 776

2. National Catholic Superannuation Fund. (http://www.ncsf.com.au) Phone: 1300 655 002

3. Non Government Schools Super Fund (http://www.ngssuper.com.au) Phone: 1300 133 177

4. The proforma Employer Superannuation Arrangements for New Employees.

If you do not complete and return the proforma, it has been agreed that the CSFR will act as the default fund employer contribution to your superannuation payment.

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Catholic Education Office

Diocese of Wilcannia-Forbes

Annexure A Employment Collection Notice – Diocese of Wilcannia Forbes

1. In applying for this position you will be providing the Wilcannia-Forbes Catholic Education Office with personal information. We can be contacted at 15 Johnson Street Forbes NSW 2871. Email: [email protected] Phone: (02) 6853 9300.

2. If you provide us with personal information, for example your name and address or information contained on your resume, we will collect the information in order to assess your application. We may keep this information on file if your application is unsuccessful in case another position becomes available.

3. The school’s Privacy Policy contains details of how you may complain ab out a breach of the Australian Privacy Principles or how you may seek access to personal information collected about you. 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.

4. We will not disclose this information to a third party without your consent. We usually disclose this kind of information to the following types of organisations: other schools, State and Federal Government Departments, the Catholic Commission for Employment Relations, the NSW Catholic Commission, the Diocese of Wilcannia-Forbes, parishes and schools within the diocese, our insurers and medical practitioners.

5. We are required to collect information regarding whether you are, or have been, the subject of an Apprehended Violence Order and certain criminal offences under Child Protection laws. We may also elect to collect personal information about you in accordance with these laws.

6. The school may store personal information in the cloud which may means it resides on servers which are situated outside Australia.

7. If you provide us with the personal information of others, we encourage you to inform them that you are disclosing that information to the schools or CEO and why, that they can access that information if they wish and that the school or CEO does not usually disclose the information to third parties.

You can obtain further information about privacy from: The School Principal or The Privacy Officer Catholic Education Office 15 Johnson Street FORBES NSW 2871 Phone: 02 68539300

“Faith Learning and Transformation in Jesus Christ” Version 1

Annexure B RELIGIOUS EDUCATION ACCREDITATION REQUIREMENTS LEVEL 1: For all newly appointed teachers, school support staff including school secretaries, teachers’ aides/assistants, AEWs, canteen staff, and CEO staff.

In the first year of appointment: Part 1: Catholic Schools in the Diocese of Wilcannia Forbes . These may be conducted over the following time frames: 1 session of 180 minutes or 6 sessions of 30 minutes or 2 sessions of 90 minutes or 3 sessions of 60 minutes. These workshops are presented in Term one. The materials for these workshops are available on the intranet.

Part 2: The Diocesan Statement of Faith & the Local School/ CEO (From 2016)

Part 3: New Evangelisation & the Catholic School (From 2016)

Currency: Fifteen hours over five years

Page 13 Version 1