REGISTRATION APPLICATION REGISTRATION FOR A SCHOOL PSYCHOLOGIST/COUNSELLOR OR SPEECH PATHOLOGIST POSITION IN THE DIOCESE OF MAITLAND-NEWCASTLE UPON COMPLETION OF THIS APPLICATION, PLEASE EMAIL ALL DOCUMENTS TO: ES@mn.catholic.edu.au Thank you for applying for registration with the Catholic Schools Office of the Diocese of Maitland- Newcastle. You are joining a diocese where learning is valued, excellent teaching is encouraged and where high expectations are rewarded. Our passionate staff are committed to providing an excellent education that caters to the academic needs and personal interests of students as well as nurturing their special gifts. Whether you choose to teach, or work in a support role, you offer to be involved in an enterprise which is both challenging and rewarding. Catholic education forms part of the mission of the Church and is a shared responsibility and privilege. We welcome people who are willing to commit themselves to serving young people and their families and supporting the ethos of the Catholic school system. Further information about available positions is supplied on our website www.mn.catholic.edu.au I hope you will find the information enclosed in this application package helpful and I wish you well with your career choices and decisions. Yours sincerely For Dr Michael Slattery DIRECTOR OF SCHOOLS 1
INSTRUCTIONS Please read the following information carefully and ensure all fields in this form are complete. The application form and all supporting documents (refer Checklist) must be scanned and saved in PDF format as one file, then emailed to: ES@mn.catholic.edu.au Please attach the saved PDF file to your email using the subject format: Surname - Application. All documentation must be copies that have been certified by a Justice of the Peace or other Authorised Officer. If documents are submitted in your maiden name or a name different to your proof of identify documents, you must provide a certified copy of your marriage certificate or other supporting documents for verification purposes. Once a complete application with all documents has been received, you will receive an acknowledgement email within ten working days. Note that incomplete applications without full supporting documentation cannot be processed and will be returned to you. 2
PREVIOUS REGISTRATION Have you previously been registered for employment in a teaching or non-teaching position with the Catholic Schools Office, Diocese of Maitland-Newcastle? Yes No If Yes, what name were you registered under? If previously registered, please note that you will still need to complete the registration application below. CHECKLIST Listed below are the documents required to complete this application. You are required to submit scanned copies of original documents that have been certified as a true copy of the original by: (i) a Justice of the Peace or (ii) an Authorised Officer Please tick if attached Qualifications and official transcript of Academic Results indicating eligibility for the award (where applicable) Evidence of Religious Education Qualifications (if applicable) Other Degrees, Diplomas or Certificates including First-Aid Certificate Statement(s) of Service must be provided within a term of commencement. Statements should show: a) Commencement dates and Termination dates (DD/MM/YYYY) b) Whether service was Full Time/Part Time or Casual c) For Part Time or Casual details of hours/days worked d) If any Leave Without Pay taken, details on the number of days without pay Working with Children Check Number Verified 100 Points of Identification Checklist (Appendix 3) Birth Certificate as proof of identity Marriage Certificate (as proof of name change by marriage) Evidence of Australian Residency Status (if applicable) Code of Conduct Declaration (Appendix 4) Psychology Board of Australia Registration Number I have read and noted the following: Statement of Principles (Appendix 1) Employment Collection Notice (Appendix 2) Code of Conduct 3
SECTION 1: PERSONAL DETAILS SURNAME GIVEN NAME(S) TITLE (Ms, Mrs, Mr, Miss, Dr) PREFERRED GIVEN NAME RESIDENTIAL ADDRESS Street Suburb Postcode PREVIOUS NAME/S Please provide documentation eg. Marriage Certificate POSTAL ADDRESS PO Box/ Street Suburb Postcode DATE of BIRTH PLACE of BIRTH State, Country HOME PHONE MOBILE RELIGION AUSTRALIAN RESIDENT: EMAIL Please note that email address needs to be current & correct as it is used for all correspondence & contact Yes No INDIGENOUS STATUS NOT Aboriginal or Torres Strait Islander Aboriginal Torres Strait Islander Both Aboriginal & Torres Strait Islander ENGLISH AS A SECOND LANGUAGE Is English your first language? Yes No Other language/s spoken: SECTION 2: POSITION TYPE Please indicate the position you are applying for: School Psychologist School Counsellor School Speech Pathologist SECTION 3: QUALIFICATIONS Attach certified copies of official academic transcripts PSYCHOLOGY BOARD OF AUSTRALIA REGISTRATION NUMBER IF APPLICABLE: Degree(s) Certificates Other qualifications 4
SECTION 4: EMPLOYMENT EXPERIENCE Indicate in order, positions held, commencing with the current or most recent Employer Occupation From To Please attach certified copies of Statement(s) of Service where classification is applicable. These should clearly show start dates, termination dates, periods employed as full time or part time and dates of any leave including annual leave, maternity leave and leave without pay. SECTION 5: HEALTH Please state details of any known physical or mental condition, either past or present, or continuing or recurring illness that could affect the full performance of your duties: The employee may be required to undergo a medical examination upon employer s request. The information that you provide about your state of health will be used by the Catholic Schools Office to ensure duty of care and will be treated as sensitive information and in accordance with obligations held under the relevant national privacy principles. You may choose to place your application in a sealed envelope marked Private and Confidential, addressed to the Head of Employee Services, Catholic Schools Office, Diocese of Maitland-Newcastle, PO Box 714 Newcastle NSW 2300. SECTION 6: EMPLOYMENT SCREENING All Catholic School Office positions are child-related employment. Applicants will be subject to screening checks required by relevant NSW Child Protection Legislation. Do you have a criminal record? Yes No Is there any information about you relative to the position applied for that an employer should know? Yes No If you answered YES to any of the above questions, please provide full details. Details may be placed in a sealed envelope marked Private and Confidential addressed to the Head of Employee Services. Do you agree to a police record check being undertaken? Yes No WORKING WITH CHILDREN CHECK As this position is child-related work, a Working with Children Check is a prerequisite. The Working with Children Check involves a national criminal history check and review of findings of workplace misconduct. You must obtain a Working with Children Check (WWCC) Clearance Number through online application to http://www.kidsguardian.nsw.gov.au A clearance number will be sent to you from the NSW Office of the Children s Guardian stating that you have been cleared to work with children. I AM CLEARED TO WORK IN CHILD-RELATED EMPLOYMENT Yes No WWCC Clearance Number (for paid employment): Expiry date: Receipt attached? Yes No The CSO will not finalise the application until you provide your WWCC clearance number for paid employment and it has been successfully verified. OFFICE USE ONLY Details Verified: Initials 5
SECTION 7: REFEREES Please list at least two (2) current professional referees who can be contacted regarding your suitability for child-related employment. SURNAME GIVEN NAME CONTACT PHONE POSITION & ORGANISATION Applicants should ensure that details of two professional referees are included in their resume when applying for specific positions SECTION 8: DECLARATION BY APPLICANT All appropriate documentation is attached to this form. Yes No I certify the accuracy of the information provided with this application. I have no objections to any past or current employment referees being required to furnish a confidential report on my services. I accept the conditions and expectations of employment in the Diocese of Maitland-Newcastle as per the attached Statement of Principles (Appendix 1). I agree to abide by the philosophy, policies, practices and procedures of the Diocese of Maitland-Newcastle. I certify that the information on this form is complete and correct 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: 6
APPENDIX 1 Working in Catholic Schools A Statement of Principles THE NATURE AND PURPOSE OF CATHOLIC SCHOOLS Inspired by the message and example of Jesus Christ, Catholic schools live out a distinctive educational vision. Supported by the Catholic community of which they are a vital part, they invite students and their families into a faith-filled educational experience. As a key ministry of parishes and the diocese, Catholic schools encourage and support parents in their responsibility for the faith formation of their children. This formation is supported by prayer and opportunities to participate in the life, mission and liturgy of the broader Catholic community. Our schools commit to: Nurturing each individual s growth in faith and unique potential Offering outstanding educational experiences founded on Catholic values Fostering partnership between parents and staff in the education of their children Creating communities of respect for each other, the wider society and the earth Encouraging active engagement in social justice issues, the service of others and the promotion of peace. Catholic schools are part of a long tradition of Catholic education provided by religious and lay teachers in Australia and this diocese for over 180 years. They fulfil parents rights to choose schooling for their children which reflects their own values, beliefs and hopes. RATIONALE FOR CATHOLIC SCHOOLS All engaged in the enterprise of Catholic education commit to the values and tenets of the Church as revealed by the Good News. As disciples of Jesus, we strive to become more like him as we continue to grow in faith. Our faith is expressed in relationship with one another, and in our communities, both local and global. The Diocese of Maitland-Newcastle Catholic system of schools states in its Vision Statement;...at the heart of everything there is always Jesus Christ Faith encompasses all aspects of school planning and school life. It is fundamental to our schools improvement process. The Diocese of Maitland-Newcastle Catholic community desires its schools to be communities of an authentic and lived faith and places where our students can experience the joy and hope of the Gospel story. As a staff member in the Catholic school you are called upon to be more than an employee. You are called to help create a community that bears witness to the world of beauty and goodness of creation and of humanity (Pope Francis, Vatican City, 7 June 2013). The Catholic school therefore, is more than an educational institution; it is a key part of the Church and an essential element in the Church s mission of making Christ known and loved to the world. Every employee in the Catholic school has an indispensable and active role to play as witnesses of our mission in Catholic education and is expected to commit to: i. be appropriately qualified ii. iii. iv. regular on-going professional development meet the requirements of the Faith Education Accreditation (FEA) policy an inclusive approach to Education v. respect and support the Catholic educational philosophy of the school and Diocese vi. vii. viii. maintain an adequate understanding of those aspects of Catholic teaching that touch upon your daily tasks by your teaching and personal example, strive to inculcate in students an appreciation and acceptance of Christian teaching and values avoid, whether by word, action or known life-style, any influence upon students that is contrary to the teaching and values of the Church community in whose name you act. PLEASE PRINT THIS PAGE AND KEEP AS YOUR PERSONAL COPY 7
APPENDIX 2 Registration for Employment Collection Notice 2017 1. In applying for registration you will be providing the Diocese of Maitland-Newcastle Catholic Schools Office (CSO) with personal information. We can be contacted at 841 Hunter Street, Newcastle West NSW 2032, phone (02) 49791200. 2. If you provide us with personal information, for example, your name and address or information contained on your resume, we will collect this information in order to assess your application for registration for employment. We may keep this information on file. 3. The CSO s Privacy Policy sets out how you may seek access to your personal information and how you may complain about a breach of the APPs. 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; schools, government departments e.g. Roads & Maritime Services Working With Children Check (WWCC), the NSW Educational Standards Authority (NESA), the Catholic Education Commission (CEC) and the Catholic Commission for Employment Relations (CCER). 5. We are required to conduct a Working with Children Check and we collect information regarding whether you are or have been the subject of an Apprehended Violence Order and certain criminal offences under Child Protection law. We may also collect personal information about you in accordance with these laws. 6. The CSO may store personal information in the 'cloud', which may mean that 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 CSO and why, that they can access that information if they wish and the CSO does not usually disclose the information to third parties. PLEASE PRINT THIS PAGE AND KEEP AS YOUR PERSONAL COPY 8
APPENDIX 3 100 Point Identification Check NAME: DATE OF BIRTH: Applicants must provide documentation to support their identity. This must include original documents adding up to a minimum of 100 points as required by the 100 Point Check under the Financial Transaction Reports Act 1988. At least one document must contain a photograph integrated into the document (e.g. current photo drivers licence or current passport). The following list sets out the value of each document according to the 100 Point Check. 70 points Name of applicant verified from one of the following (more than one document from this list cannot be counted): Birth Certificate Birth Card 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 an applicant under 18 years, one document from the above list, or the following, is sufficient: Identity 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 attends the institution 40 points Name and photograph/signature of applicant verified from one of the following (more than one document can be counted): 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 financial benefit Identification card issued to a student at a tertiary education institution 35 points Name and address of applicant verified from any of the following (more than one document can be counted): Document held by a cash dealer giving security over property A mortgage or other instrument of security held by a financial body Council rates notice Document from current employer or previous employer within the last two years Land Titles Office record Document from the Credit Reference Association of Australia 25 points Name of preferred applicant verified from any of the following (more than one document can be counted): Current credit card of 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 AUTHORISING OFFICER USE ONLY 100 points of Identification verified NAME: CSO/School: Signature: Date: 9
APPENDIX 4 Code of Conduct Declaration This form is to be completed by all employees of the Catholic Schools Office in the Diocese of Maitland- Newcastle. Name... School... Home Address... Date of Birth:... DECLARATION I declare that: 1. I have read, understood and agree to abide by the 2017 Code of Conduct for employees of the Catholic Schools Office, Diocese of Maitland-Newcastle; 2. I am aware of the guidelines contained within this policy document and its implications for my conduct as I carry out my duties as an employee of the Catholic Schools Office, Diocese of Maitland-Newcastle. Signed:... Date:... Witness Name:. Home Address:. Witness Signature:... Date:... Original signed declaration to be returned to Employee Services for placement in personnel file. 10
APPENDIX 5 Location of Catholic Schools Diocese of Maitland-Newcastle 11