SCRIPTURE UNION TASMANIA

STAFF APPLICATION FORM CONFIDENTIAL WHEN COMPLETED

Please complete clearly in black ink and use additional sheets if more space is required.

POSITION FOR WHICH APPLYING: Click here to enter text.

PERSONAL DETAILS

FULL NAME Click here to enter text.

ADDRESS Click here to enter text. PHONE Click here to enter text.
(HOME)

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)

EMAIL Click here to enter text. D.O.B. Click here to enter text.

ARE YOU AN AUSTRALIAN CITIZEN OR PERMANENT RESIDENT? YES ☐NO ☐

DO YOU HOLD A DRIVING LICENCE? YES ☐ NO ☐

EDUCATION

Please give details of your education or provide a current CV

Qualification Institution Year Completed

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Details of other qualifications:

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WORK EXPERIENCE

Please give dates and details of professional, business or other working experience, or provide a current
CV

Position Held Employer Dates

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Why have you applied for this position and why do you believe you are suitable for it?

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CHRISTIAN EXPERIENCE

Of which section of the Christian Church are you a member?

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What local place of worship do you normally attend?

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Who is the minister/church leader?

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How and when did you become a Christian?

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What Christian books, speakers or activities have been most influential in your spiritual life?

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Click here to enter text.

What positions, or other special involvement, have you had in your church?

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What previous involvement, if any, have you had with Christian ministry in schools?

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What contact have you had with any other Christian organisations?

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Do you agree that the basis of faith contained in the Aims, Beliefs and Working Principles of SU is
indicative of your own faith position?
YES ☐ NO ☐

OUTSIDE INTERESTS

What interests do you have outside church and your work?

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Please give examples of your Christian and secular reading over the past two years (papers; magazines;
periodicals; books including title and author)

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Which television and radio programs, or films, have recently been significant for you?

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What websites have you found interesting?

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HEALTH

How would you describe your general health?

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Do you have any disability? YES ☐ NO ☐

If yes, what adjustments might you need us to make?

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We may require candidates to have a medical examination.

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REFEREES

Please give details of three people who are willing to act as your referees. The three referees should not
all be of the same sex, nor should they all have known you in the same context. Staff of SU are unable to
act as referees. At least one referee should be a current or previous employer and one should be from a
church context.

NAME Click here to enter text. POSITION Click here to enter text.

ADDRESS Click here to enter text. PHONE (BUS HRS) Click here to enter text.

Click here to enter text. (MOBILE) Click here to enter text.

EMAIL Click here to enter text.

NAME Click here to enter text. POSITION Click here to enter text.

ADDRESS Click here to enter text. PHONE (BUS HRS) Click here to enter text.

Click here to enter text. (MOBILE) Click here to enter text.

EMAIL Click here to enter text.

NAME Click here to enter text. POSITION Click here to enter text.

ADDRESS Click here to enter text. PHONE (BUS HRS) Click here to enter text.

Click here to enter text. (MOBILE) Click here to enter text.

EMAIL Click here to enter text.

If in current employment, when may we ask your employer for a reference? (Please state clearly)

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DECLARATION

I hereby declare that the information given in this application form is true and complete. I understand
that incomplete applications will not be considered, and that providing false information is grounds for
immediate disqualification from the application process, or even immediate dismissal if the falsehood is
discovered after hiring. I authorise the verification of all statements herein and release Scripture Union
and all others from liability in connection with same. I authorise Scripture Union or their representatives
to solicit references in connection with this application from my nominated referees and any other
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person or organisation deemed appropriate by SU. I release them and the referees from any liability in
regard to same. I give permission for this form and references to be copied to those involved in the
interviewing and selection process.
IF APPOINTED

I Click here to enter text. agree to the following:

 I am committed to this ministry as an expression of my faith in Jesus and my desire to live as his
disciple.
 I have read the brochure, Aims, Beliefs and Working Principles of SU and (if applying as a
chaplain) the Tasmanian Department of Education National School Chaplaincy Programme:
Guidelines for Tasmanian Government Schools and agree with and will function within them.
 I will work under the leadership of the CEO.
 I declare that I do not currently participate in, nor have I in the past participated in any activity,
such as physical or sexual abuse, financial misdealing, serious dishonesty, serious moral lapse, or
crime against children, which would reasonably preclude* me from being a staff member of
Scripture Union.

*Scripture Union acknowledges God’s grace and that those involved in the above mentioned activities in
the past who have repented have been forgiven. However, they may still need to be precluded from SU
ministry.

Name Click here to enter text. Date Click here to enter text.

PLEASE RETURN COMPLETED STAFF APPLICATION FORM TO

SCRIPTURE UNION TASMANIA

23 Clarence St
BELLERIVE TAS 7018

PHONE (03) 6244 8422

EMAIL admin@sutas.org.au

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