Employment Application Cover Sheet - Methodist Ladies' College

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EMPLOYMENT APPLICATION
COVER SHEET
Please complete this form and submit with your application. Information used for statistical purposes will be treated confidentially.
Position applied for
HOW DID YOU HEAR ABOUT THIS POSITION?
Seek
The West Australian
Teachers.On.Net
Word of mouth
MLC website
AISWA
Recruitment Agency
Other
PART A - CONTACT DETAILS
Sex
Male
Female
Date of Birth
/
/
(not mandatory)
Title
Mr
Mrs
Ms
Miss
Dr
Other
Name
(family/given/preferred)
Home Address
Home Phone
Postal Address (if different)
Home Phone
Work Phone
Mobile
Fax
Email
Are you an Australian resident
  Yes
  No
If No, do you have a current Working Visa
  Yes
  No
PART B - EMPLOYMENT DETAILS
Are you currently employed
  Yes
  No
Current Employer
Position within the Organisation
TRBWA Number
Total years of relevant teaching services
(Teachers only)
Length of Service
May we contact you at work?
  Yes
  No
REFEREES
Name
Contact Number
Email
Name
Contact Number
Email
Name
Contact Number
Email
 I give permission for Methodist Ladies’ College to contact the above referees
PART C - SIGNATURE
I certify that there are no reasons why I should not be suitable for employment, or that may hinder me from fulfilling the inherent
requirements of this position. I certify that the information contained in this application is true and correct.
Signature
Date
/
/

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