CAREER APPLICATION FORM

Name *

First Last

Major Intersection *

Postal Code *

Phone Number *

### - ### - ####

Email *

Which position are you interested in? *

Full-time    Supply   Part-time   Cook

What are your areas of specialisation? PLEASE LIST ALL. *

Dance   Theatre   Music   Visual Art

List Degrees, Certificates and/or further education of the Arts for example BED, ECE, ECA, RAD, CDTA ……

Are you RECE or/and OCT? *

RECE   OCT

Registration Number: *

Language Spoken *

Please explain in detail your extended learning involvement that relates to the Arts. (Starting from childhood) Dance

Music

Theatre

Visual Art

Which age group do you prefer? *

Pre K   JK   SK   All of the above

Are you available to work any shift between 8:00am and 5:30pm *

Yes   No

Would you work as a supply until a full time position becomes available? *

Yes   No

What is your shift preference? *

8:30am - 5:00pm   9:00am - 5:30pm   Other

Do you have a current Criminal Reference Check? (within the last three months) *

Yes   No

Do you have a First Aid Certificate? *

Yes   No

Do you have a CPR level C with AED Certificate? *

Yes   No

Is your immunisation information up to date? *

Yes   No

If offered a position when are you able to start? *

01 02 03 04 05 06 07 08 09 10 11 12 MM / 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 2013 2014 2015 2016 2017 2018 2019 YYYY

Hourly Wage Expectation? *

Are there any upcoming commitments in the next year that would require time off of your employment situation? *

Yes   No

Where did you hear about us?

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorise the verification of any or all information listed above.

Do you agree with the terms and conditions? *

Yes, I agree.

Initial *

Date *

01 02 03 04 05 06 07 08 09 10 11 12 MM / 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DD / 2013 2014 2015 2016 2017 2018 2019 YYYY

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