Tutor Employment Application Form

Please complete the below application form with all the relevant details and submit.

We will be in contact to organise an interview time if your application has been successful.

*Marked with an asterisk are compulsory fields
**Marked with a double asterisk are fields required for the Child Protection Act screening process

 Personal Details:
Title:
First Name:
 *
Middle Name:
 **
Surname:
 *
Other Names by which you have been known:
 **
Address 1.
 *
Address 2.
Suburb:
 *
City:
 *
State:
 *
Country:
 *
Post Code:
 *
Email Address:
 *
Home Phone (0293655215):
 *
Mobile:
Work Phone (0293655215):
Fax (0293655215):
Car:
 *
Date of Birth (DD/MM/YYYY):
   **
Place of Birth
(City, State, Country):
 ** ** **
Drivers Licence Number / Passport Number:
**
How did you
hear about us?:
 *
 Education Details:
University Name: *
Degree Obtained / Working Towards: *
Majors: *
I am in my:
Year of Completion:
 *
Additional Educational Qualifications:
 Tutoring Capabilities:
Subjects and levels you are able to Tutor: *
1.
 
2.
 
3.
 
4.
 
5.
 
6.
 
   
Days available to Tutor: *
 
Additional Comments:
 Related Work Experience: (List most recent positions first)
Employer:
Town/City:
Date of Employment (DD/MM/YYYY):
Position:
Summary of Duties:
 
Employer:
Town/City:
Date of Employment (DD/MM/YYYY):
Position:
Summary of Duties:
Employer:
Town/City:
Date of Employment (DD/MM/YYYY):
Position:
Summary of Duties:
 Additional Comments:
  
 Referees :
Referee Name:
Relationship:
Contact Number:
 
Referee Name:
Relationship:
Contact Number:
I have read the Child Protection Policy Act
and consent to a screening check performed by the
Department of Education Screening Unit
or