Acceptance of your Preservice Teacher offer

Privacy Notice*

This notice forms part of Brigidine College’s Privacy Policy regarding the collection of personal and sensitive information. All applications for positions with Brigidine College (the College) will be treated in the following manner:
1. If you provide us with personal information, for example your name and address or information provided on your resume or curriculum vitae, we will collect this information in order to assess your application for employment.
2. We may store this information for a period of six (6) months after the date of application.
3. You may seek access to personal information that we hold about you if you are unsuccessful for the position.
However, there will be occasions when access is denied. Such occasions would include circumstances 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; however, we usually disclose this information to the following types of organisations:
a. Australian Taxation Office;
b. Superannuation Fund to which you have elected to direct your contributions under the Workplace Agreement;
c. Queensland Curriculum Assessment Authority;
d. Public Safety Business Agency Working with Children Check and Office of the Public Guardian;
e. Queensland College of Teachers.
5. As part of our legal and compliance obligations, the College may conduct a criminal record check as part of the
selection process to determine if you are or have been the subject of an AVO (Apprehended Violence Order) or other criminal offences.
We may also collect personal information about you in accordance with Child Protection laws.
6. The College 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 personal information of others, we encourage you to inform them that:
a. you are disclosing that information to the College and why;
b. they can access that information if they wish; and
c. the College does not usually disclose the information to third parties.
8. The College’s Privacy Policy contains details of how you may complain about a breach of the Australian Privacy Principles.

I agree to the privacy policy.

Surname*

Given Name*

Preferred Name*

Preferred Title*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of Birth*

dd/mm/yyyy

Please confirm your current working entitlement

Australian Citizen
New Zealand Citizen
Permanent Resident
Working Visa

Please upload proof of rights to work in Australia, this may include an Australian Birth Certificate, Australian or New Zealand Passport, evidence of permanent resident status or a visa with working entitlements. See attached Right to Work document for further information.

Please upload a copy of your right to work in Australia evidence*

Max. file size: 15 MB.

Please provide proof of rights to work in Australia, this may include an Australian Birth Certificate, Australian or New Zealand Passport, evidence of permanent resident status or a visa with working entitlements.

Please upload a copy of your Blue card*

Max. file size: 15 MB.

Emergency Contact Information

Emergency Contact 1*

First Last

Relationship to you*

Emergency Contact Phone number*

Emergency Contact 2

First Last

Relationship to you

Emergency Contact Phone number

Health/Special Requirements

Do you have any Medical Conditions? (include any serious reactions)*

Please note any information to assist in emergency situations, eg Medic Alert bracelet, allergic reactions, medical requirements, etc. For your own safety we recommend you communicate serious health conditions and required medication to your local First Aid Officer and immediate work colleagues when you commence.

Do you have any Food allergies?*

Please note any information to assist in emergency situations, eg Medic Alert bracelet, allergic reactions, medical requirements, etc. For your own safety we recommend you communicate serious health conditions and required medication to your local First Aid Officer and immediate work colleagues when you commence.

Diversity Details (this section is optional)

Are you of Aboriginal and/or Torres Strait Islander origin? (Optional)

Religion (Optional)

Do you speak a language other than English? (Optional)

What language/s do you speak?*

Please confirm your Placement details below

Which University are you attending?*

Placement start date*

dd/mm/yyyy

Placement end date*

dd/mm/yyyy

Is your Placement observation only?*

Please confirm you have read the College's Responsible Use of Digital Technologies Policy*

Please confirm you have read the College's Statement of Principles for Working in a Catholic School*

Please confirm you have read the College's Code of Conduct Policy*

Signature*

By signing this form, I hereby acknowledge my Acceptance of the placement offered by Brigidine College under the terms and conditions outlined on the Pre-Service Placement Acceptance page.

Acceptance of your Preservice Teacher offer

Pre-service Placement Acceptance form

Emergency Contact Information

Health/Special Requirements

Diversity Details (this section is optional)

Please confirm your Placement details below

Preservice Teaching Fellowship Program

Preservice Teaching Placement Application