Casual Relief Teacher

1. Have you ever had any disciplinary action taken against you by an employer (e.g. received a warning or had your employment terminated) in relation to any inappropriate or unprofessional conduct?

Yes

No

If yes, please elaborate

2. Have you ever been the subject of an allegation of inappropriate or unprofessional conduct which has been substantiated by an employer or other body?

Yes

No

If yes, please elaborate

3. Have you ever been found guilty of a criminal offence or are you currently facing criminal charges?

Yes

No

If yes, please elaborate

4. Do you consent to the prospective employer contacting the appropriate person at any or all of your current or former employers (including any retired person who at the relevant time may have been employed by a former employer) to confirm the accuracy of your answers in questions 1–3 above and to ask about your suitability to work with children?

Yes

No

If no, this will be discussed further if you are offered an interview.

- Expressions of interest

Employment Application Form