Employment Collection Notice

In applying for this position and submitting your application for employment you will be providing Catholic Education within the Diocese of Rockhampton with personal information, for example your name, address and information contained in your resume. We will collect and record this information in order to assess your application. If you believe that any of your personal information held by us is incomplete or inaccurate you have the right, in accordance with the provisions of the Privacy legislation, to notify us and make any updates or corrections. Where you have provided us with the name and address of a person in connection with your application (e.g. referee), you should inform the person that you have done so and the reason for it. You should also inform them that the information is to be used solely in connection with your application for employment. In submitting this application for employment you agree that you will not seek access to references provided by third parties or to confidential notes or reports made by us relating to your application for employment. We seek your agreement in this regard to ensure that referees are not inhibited from providing complete and accurate references as to your suitability for the position. Access to feedback on the selection process is available.

COVID-19 Vaccination Requirements

Please note that the ‘COVID-19 Vaccination Requirements for Workers in a high-risk setting Direction’ applies to this role because it is an inherent requirement of the role that you enter, work in, or provide services in an education setting.  Accordingly, you must be able to provide evidence that you are fully vaccinated against COVID-19.  You will be asked by the recruiting manager to supply this evidence if you are the preferred candidate for the role.  Any job offer would be subject to the supply of evidence related to the mandatory vaccination requirements in addition to other required employment screening.

Applicant’s Declaration

I have read, understood and, if offered employment with Catholic Education with the Diocese of Rockhampton, accept the requirements of the Statement of Principles for Employment in Catholic Schools as an explicit condition of employment. I certify that the information in this application is true, to the best of my knowledge. I understand that I have a duty to disclose sufficient information to enable a prospective employer to make a properly informed decision about my employment.

I understand that if I am employed by Catholic Education with the Diocese of Rockhampton and any statement I have made or information I have provided with this application form are found to be false within my knowledge, that I may be liable for immediate dismissal.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. Last name*

1. E-mail*
2. Phone*

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country*Please choose... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. Religious Denomination (upload baptism certificate if available or applicable)*
2. Are you currently registered with Blue Card Services Queensland?*

   1. Yes
   2. No
   3. Applied
3. What is your Blue Card Number and Status (ie Volunteer/Paid/Exemption)
4. Previous Employment - Have you ever been previously employed with Catholic Education? If YES, name of School / Diocese / Employer:
5. Criminal History - have you ever been charged or convicted in a court of law for anything other than a traffic offence? *

   1. Yes
   2. No
6. If yes, please provide a statement outlining the details related to this charge or conviction.
7. Medical History - Do you have a medical condition which Catholic Education in the Diocese of Rockhampton should be aware of in assessing your ability to satisfy the inherent requirements of the position/s applied for or in assessing workplace adjustments that would be required for your employment? *

   1. Yes
   2. No
8. Medical History - Have you ever made a workers' compensation claim or received a lump sum settlement in relation to an injury, illness or disability which may be relevant to assessing your ability to satisfy the inherent requirements of the position/s applied for or assessing workplace adjustments that would be required for your employment? *

   1. Yes
   2. No
9. If YES to either of these questions please provide a statement giving details
10. Australian Immigration Status - What is your residency status? (documentary evidence required) *

    1. Australian Citizen
    2. Australian Permanent Resident
    3. New Zealand Citizens who entered Australia on a current New Zealand passport
    4. Non-Australian citizens holding a valid visa with work entitlements
11. If you are a permanent or temporary visa holder please provide details of Current Visa Class / Current Visa Subclass and the expiry date
12. Education History - Schools/Colleges/TAFE Institutes
13. Recognition of Diversity (Completion of this section is voluntary) - do you identify as any of the following?

    1. Aboriginal or Torres Strait Islander Person
    2. Person with a disability
    3. Person from a non-English speaking background
14. Recognition of Prior Service and Experience. Do you have any previous service that may be recognised for classification purposes? If YES, please provide a statement of service for the relevant experience. If you are classified as a School Officer you will also need to complete a PR10 form (available from the school/Catholic Education office) outlining how the service is relevant to the position and provide supporting documentation e.g. Statement of Service. The recognition of other service will be based upon demonstrated relevance to the work to which the employee is appointed. *

    1. Yes
    2. No
15. Referee 1. (please provide full name, phone number, email address and current position of nominated referee) In providing us with the name and address of a person in connection with your application, you should inform the person that you have done so and the reason for it. You should also inform them that the information is to be used solely in connection with your application for employment. *
16. Referee 2. (please provide full name, phone number, email address and current position of nominated referee) In providing us with the name and address of a person in connection with your application, you should inform the person that you have done so and the reason for it. You should also inform them that the information is to be used solely in connection with your application for employment. *
17. Referee 3. (please provide full name, phone number, email address and current position of nominated referee) In providing us with the name and address of a person in connection with your application, you should inform the person that you have done so and the reason for it. You should also inform them that the information is to be used solely in connection with your application for employment. *
18. I have completed a written response with reference to the Position Description and Selection Criteria (details must be uploaded prior to submission).*

    1. Yes
    2. No
19. I have outlined my relevant Employment History on my CV/Resume (please upload any relevant qualifications prior to submission).*

    1. Yes
    2. No