LCGS – Application for Employment
The purpose of this form is to derive relevant information about a candidate and
the position for which they are applying for. This form does not constitute an offer
or contract of employment. (This form contains check boxes, double click on correct box and clink
on checked to place an X in the appropriate box.)
Please refer to the document Information for Positions Vacant Applicants, for
additional information regarding the recruitment process.
ABOUT YOU
MR
MRS
MISS
MS
OTHER
SURNAME:
GIVEN NAMES:
ADDRESS
CODE):
(PLEASE
INCLUDE
POST
DAYTIME PHONE CONTACT:
EMAIL:
DO YOU NEED A WORK PERMIT TO WORK IN AUSTRALIA?
YES
NO
YES
NO
IF YES PLEASE PROVIDE DETAILS
DO YOU HAVE A CURRENT DRIVER’S LICENSE?
ABOUT THE POSITION BEING APPLIED FOR
POSITION TITLE:
CLOSING DATE:
DATE OF APPLICATION:
WHERE WAS THIS POSITION ADVERTISED?
NEWSPAPER
INTERNET SITE
SCHOOL’S W EBSITE
SCHOOL’S NEWSLETTER
HAVE YOU PREVIOUSLY APPLIED FOR POSITIONS WITH LCGS? YES
NO
IF YES PLEASE PROVIDE DETAILS
DO
YOU NEED TO PROVIDE YOUR CURRENT EMPLOYER WITH
NOTICE? IF YES, HOW LONG?
AJA: 28 January 2016
YES
NO
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WHAT HAS ATTRACTED YOU TO THIS POSITION? PLEASE EXPLAIN
ABOUT YOUR EDUCATION – PLEASE PROVIDE DETAILS OF YOUR EDUCATION AND
COURSES COMPLETED
APPROPRIATE
(FROM HIGHEST AND/OR MOST RECENT) AND ATTACH EVIDENCE AS
QUALIFICATION / COURSE
INSTITUTION / SCHOOL
ABOUT YOUR EMPLOYMENT HISTORY –
YEAR ATTAINED
PLEASE PROVIDE DETAILS OF YOUR
EMPLOYMENT HISTORY STARTING WITH YOUR CURRENT OR MOST RECENT EMPLOYER
EMPLOYMENT
FROM
TO
AJA: 28 January 2016
NAME OF EMPLOYER
POSITION TITLE AND MAIN TASKS
PERFORMED
Page 2 of 4
ABOUT YOUR REFEREES – PLEASE PROVIDE DETAILS OF TWO REFEREES
NAME:
NAME:
PHONE
CONTACT:
PHONE
CONTACT:
EMAIL
CONTACT:
EMAIL
CONTACT:
OCCUPATION:
OCCUPATION:
RELATIONSHIP
RELATIONSHIP
HAVE
YOU
INFORMED
THEM?
YES
NO
HAVE
YOU
INFORMED
THEM?
YES
NO
I AUTHORISE LAUNCESTON CHURCH GRAMMAR SCHOOL’S YES
(LCGS) DESIGNATED REPRESENTATIVES TO CONTACT MY
NO
DECLARATION BY APPLICANT
REFEREES REGARDING RELEVANT INFORMATION IN
RELATION TO MY APPLICATION FOR THE POSITION APPLIED
FOR.
I CERTIFY THAT THE STATEMENTS MADE AND THE
INFORMATION I HAVE PROVIDED IN THIS FORM AND
ASSOCIATED DOCUMENTS, IS TO THE BEST OF MY
KNOWLEDGE AND BELIEF TRUE AND COMPLETE. I AM AWARE
THAT ANY INACCURATE STATEMENTS OR INFORMATION
WITHHELD MAY RESULT IN ANY OFFER OF EMPLOYMENT
BEING WITHDRAWN OR INSTANT DISMISSAL, SHOULD I BE
SUCCESSFULLY APPOINTED TO A POSITION WITH LCGS.
YES
NO
NEXT STEPS
PLEASE EMAIL OR MAIL THIS APPLICATION FORM, TOGETHER WITH YOUR COVERING
LETTER, STATEMENT ADDRESSING THE SELECTION CRITERIA (AS DESCRIBED ON PAGE
4 OF THIS APPLICATION) TO MRS AUDRA ANDERSON, HUMAN RESOURCES MANAGER,
PO
BOX
136
MOWBRAY
HEIGHTS,
7248,
TASMANIA.
EMAIL
positionsvacant@lcgs.tas.edu.au
ALL LCGS EMPLOYEES ARE REQUIRED TO REGISTER FOR THE WORKING WITH
CHILDREN CHECK (TASMANIA). THIS CHECK IS ISSUED BY THE DEPARTMENT OF
JUSTICE; PLEASE REFER TO http://www.justice.tas.gov.au/working_with_children
FOR FURTHER INFORMATION. (TEACHERS PLEASE DISREGARD UNTIL 1 JANUARY
2017)
AJA: 28 January 2016
Page 3 of 4
Thank you for taking the time to submit your application and for your interest in
working with Launceston Church Grammar School.
STATEMENT ADDRESSING THE SELECTION CRITERIA – PLEASE PROVIDE A BRIEF
STATEMENT ADDRESSING THE SELECTION CRITERIA AS DETAILED ON PAGE
DESCRIPTION.
2 OF THE POSITION
Please add more pages as required.
AJA: 28 January 2016
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