Telephone: (07) 4637 1400
Fax:
(07) 4637 1499
ABN:
88 934 244 646
PO Box 813
73 Margaret Street
TOOWOOMBA Q 4350
…act justly, love tenderly: walk humbly with your God.
Micah 6:8
S1
 DO NOT USE STAPLES – LEAVE DOCUMENTS A SINGLE
SHEETS
APPLICATION FOR TEACHER EMPLOYMENT
1. Please read the ‘Guidelines For Teacher Employment Applications’ when completing this form
2. This symbol denotes that the applicant is required to supply certified documentary evidence to
support their application
3. Applications will be held for a year from the date received
Date Received:
SECTION 1: Personal Details
Surname:
Given Name/s:
Preferred Name:
Title:
(Mr, Mrs, Ms, Miss, Dr , Sr, Br)
Date of Birth:
(Birth Certificate)
Street Address:
Town/Suburb:
Post Code:
Postal Address:
Town/Suburb:
Post Code:
Email:
Home Phone:
Mobile:
Previous Name:
Marital Status: (Marriage Certificate) 
Religious Denomination: 
Catholic

Other:
(please specify)
Phone No:
Mobile No:
Next of Kin:
SECTION 2: Applicant Details
2 (a) Applicant Type If you are a registered teacher, or eligible for registration with the Queensland College of Teachers (QCT)
tick one of the following:
GRADUATE 
UNIVERSITY ATTENDED END DATE GENERAL

STATEMENT OF SERVICE/S 
(As per 7b)
A graduate applicant who has completed or
will soon complete their final major
professional experience (teaching practicum)
or who has taught for less than a year
Applicants who have s uccessfully completed a
minimum of one year of teaching service with
a recognised education history
2 (b) Type of employment sought
(Please indicate one or all of the following preferences)

Full Time
2 (c) Sector Preference
(Please indicate one or all of the following preferences)

Early Childhoo d

Primary
 Secondary
School/position tit le:
2 (d) Is this application for an advertised position or a general application.
GENERAL
 ADVERTISED POSITION

Application for Teacher Employment

Part Time
 Relief (available M T W T F)
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SECTION 3: Additional Personal and Identification Information
3 (a) Educational History Please identify primary schools and secondary colleges attended as a student
Name of School
3 (b) Teacher Registration 
Are you currently registered with Queensland College of Teachers?
 Yes

No
If YES, registration number:
Town/City
 Full
 Provisional
Expiry Date:
If you have applied, please indicate your receipt number:
3 (c) Previous Employment
 Yes
 No
Have you ever been previously employed as a teacher with Catholic Education?
If YES, name of school/diocese/employer:
3 (d) Criminal History
 Yes
 No
Have you ever been charged or convicted in a court of law for anything other than for a traffic offence? If YES, please provide a
statement giving details. 
3 (e) Medical History
 Yes
 No
Do you have any health concerns or medical conditions you are aware of that may affect your ability to undertake work
requirements of the position and that the employer should be made aware of so that duty of care to employees can be fulfilled If
YES, please provide a statement giving details. 
3 (f) Eligibility to Work Requirements
For further information refer to “Guidelines for Teacher Employment Applications”
What is your residency status? Documentary evidence required 
 Australian Citizen
 Australian Permanent Resident
 New Zealand Citizens who entered Australia on a current New Zealand
passport
 Non-Australian Citizens holding a valid visa with work entitlements 
Current Visa class
Current Visa sub-class
Visa Expiry date:
If you are a permanent or temporary visa holder please provide the following
information 
SECTION 4: Recognition of Diversity – Completion of this section is voluntary
Do you identify as any of the following? If YES, please identify which target
group.
 Aboriginal or Torres Strait Islander Person
 Yes
 No
 Person with a disability
 Person from a Non-English speaking background
Application for Teacher Employment
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SECTION 5: Teaching Preferences
List subjects/key learning areas you are formally qualified to teach:
Primary
Secondary
SECTION 6: Location Preferences – Primary and Secondary
I will accept an appointment to any Catholic school in the Diocese of Toowoomba? (see full list of schools below)
 Yes

No
NOTE: You are advised that limiting your location preferences may limit your employment opportunities.
6 (a) Please indicate your preference/s below:
Toowoomba



























Note: to obtain more information about the location of 
Schools, please refer to the Toowoomba Catholic 
Education Website. www.twb.catholic.edu.au


6 (b) Brief comments on preferences:
St Saviour’s Primary School
St Anthony’s Primary School
St Thomas More’s Primary School
Mater Dei Primary School
Holy Name Primary School
Sacred Heart Primary School
Our Lady of Lourdes Primary School
St Mary’s College – (5 – 12)
St Saviour’s College – (8 – 12)
St Joseph’s College – (8 – 12)
Youth and Community Learning Centre (YCLC)
Country
Allora – St Patrick’s School (p – 7)
Charleville – St Mary’s School (p – 7)
Chinchilla – St Joseph’s School (p – 7)
Clifton – St Francis de Sales School (p – 7)
Cunnamulla – Sacred Heart Parish School (p – 7)
Dalby – Our Lady of the Southern Cross College (p – 12)
Goondiwindi – St Mary’s School (p – 7)
Highfields – Mary MacKillop Catholic School (p – 7)
Inglewood – St Maria Maria Goretti School (p – 7)
Millmerran – St Joseph’s School (p – 7)
Mitchell – St Patrick’s Primary School (p – 7)
Oakey – St Monica’s School (p – 7)
Pittsworth – St Stephen’s School (p – 7)
Quilpie – St Finbarr’s School (p – 7)
Roma – St John’s School (p – 12)
St George – St Patrick’s School (p – 7)
Stanthorpe – St Joseph’s School (p – 12)
Tara – St Joseph’s School (p – 7)
Warwick – St Mary’s School (p – 7)
Warwick – Assumption College (8 – 12)
Indicate details of any restrictions to your location preferences. Also provide details of personal circumstances which need to
be considered when determining your placement arrangements.
Application for Teacher Employment
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SECTION 7: Teaching and Other Relevant Employment History
7 (a) Teaching Practicums – (GRADUATE APPLICANTS ONLY)
Name of School
From
dd/mm/yyyy
Town/City
To
dd/mm/yyyy
7 (b) Teaching History
Certified copies of official Statement of Service will be required before service can be recognised for classification and
Salary purposes.
Name of School
Town/City
Work Status
(FT, PT, Relief)
From
dd/mm/yyyy
To
dd/mm/yyyy
7 (c) Recognition of Prior Non-Teaching Service and Experience
Do you have any previous non-teaching service that could be recognised for classification purposes?
 Yes No
Please state briefly this service:
If YES, once appointed to a school you will need to complete a P34 form (available on request by contacting the school or
Toowoomba 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 which the
employee is appointed.
SECTION 8: Skills and Competencies
Please record your skills and competencies e.g. TAFE accreditation, first aid accreditation, instrumental music, coaching, etc.
Documentary evidence to support the skills/competencies must be attached 
vel
Description
Date obtained dd/mm/yyyy
Application for Teacher Employment
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SECTION 9: Qualifications
9 (a) Educational Qualifications – Teacher preparation course
Graduate applicants must supply certified copies of their official academic transcripts showing that the degree has
been conferred or a copy of their degree and their most recent practicum teaching reports. 
Qualification – Name of Course
Name of Institution
Completion Date
dd/mm/yyyy
Majors
9 (b) Qualifications – Other tertiary qualification (if applicable)
You must supply certified copies of all degrees or official academic transcripts showing that the degree has been
conferred. 
Qualification – Name of Course
Name of Institution
Completion Date
dd/mm/yyyy
Majors
9 (c) Qualifications – Religious Education (if applicable)
You must supply certified copies of your qualifications. 
Qualification – Name of Course
Completion Date
dd/mm/yyyy
Name of Institution
9 (d) Accreditation
Do you have Accreditation to Teach in a Catholic School?
Do you have Accreditation to Teach Religion in a Catholic School?




Yes
No
Yes
No
If YES, please attach a certified copy of the relevant documentation. 
Application for Teacher Employment
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SECTION 10: Referees
You are required to submit three written Referee Reports to support your application for employment. Information provided
by your Referee’s is to be used solely in connection with your application for employment.
RELIGIOUS
Name:
Position:
Phone:
Email:
Mobile:
PROFESSIONAL
Name:
Position:
Phone:
Email:
Mobile:
PERSONAL
Name:
Position:
Phone:
Email:
Mobile:
Referee Reports are to be mailed directly back to:
The Executive Director
Attention: Karen Badcock
Toowoomba Catholic Schools Office
PO Box 813
Toowoomba Qld 4350
SECTION 11: Employment Collection Notice
**THIS SECTION MUST BE SIGNED AND DATED**
In applying for a position within Toowoomba Catholic Education and submitting your application for employment, you
will be providing the Diocese of Toowoomba Catholic Education Office or School with personal information; for example,
your name, address and other details contained in your resume/curriculum vitae. We will collect and record this
information in order to assess your application.
If you believe that any of your personal information held by 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 to 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.
I agree with the above conditions and 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.
Signature:
Date:
Application for Teacher Employment
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SECTION 12: Mandatory Reporting Requirements.
 New Applicant to Diocese of Toowoomba.
Go to Section 13
 Current / Previously employed by Diocese of Toowoomba.
Have you completed any Toowoomba Diocese, Catholic Education Student Protection training?
 Yes
No
If Yes, which forum was it:
In-Service Training at a school

Yes

School
Year completed:
Compass Online Induction Training

Yes
Year completed:
Compass Online refresher Training

Yes
Year completed:
Have you completed any Toowoomba Diocese, Catholic Education Code of Conduct training?
 Yes
No
If Yes which forum was it:
In-Service Training at a school

Yes

School
Compass Online Induction Training

Yes
Year completed:
Compass Online refresher Training

Yes
Year completed:
Year completed:
If yes, please attach proof of attendance/completion either by school sign-in sheets or online certificates. 
SECTION 13: Document Checklist
Upon completion of this form, attach CERTIFIED copies of the following documents. Do not send originals
 Marriage Certificate, Court Order, Change of Name Certificate
 Birth Certificate/Extract
 Passport or Visa (if applicable – Visa candidates or instead of Birth Certificate)
 Current Queensland College of Teachers Certificate
 Statement of criminal history (if applicable)
 Statement of medical history (if applicable)
 Teaching Statements of Service (if applicable)
 Statements of Competencies/Qualifications/Academic transcripts
 Most recent practicum teaching reports (for graduates)
 Accreditation to teach documentation (if applicable)
 Mandatory Reporting Requirements evidence (sign on Sheet or Certificate)
Application for Teacher Employment
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SECTION 14: Application Submission
**Please do not bind your application into a booklet**
Have you submitted the following:
 S1 Application for Teacher Employment
 Suitability Declaration
 Relevant documentation listed in Section 12 above
 Covering letter addressed to the Senior Education Officer
 Resume/Curriculum Vitae
 Referee Reports
Please post your Applications to:
The Executive Director
Toowoomba Catholic Schools Office
Attention: Karen Badcock
PO Box 813
Toowoomba Qld 4350
Application for Teacher Employment
Page 8