Become a Specialist Teacher

Applicant Name *

Email Address *

Mobile phone number *

Street Address *

Suburb

State

Postcode

Please attach your resume here. *

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Please attach a copy of your tertiary qualifications here. *

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Do you have a current Blue card or Blue Card Exemption? *YesNoThis is a requirement. You can apply for a free exemption card with QCT registration.

Please attach your Blue Card here. *

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Do you have a current QCT or relevant organisation registration? With whom? *QCTSpeech TherapyOccupational TherapyNoOtherThis is not a requirement

Other registrationThis is not a requirement

Recent classroom teaching or intervention experience *

Recent Tutoring (or 1:1 teaching) experience *

Number of years working with students as Teacher/Tutor/Professional *1 - 3 years3 - 9 years10 or more years

Do you have experience working with students with SLD's? *YesNo

Do you have specialist training as an instructor or facilitator in any of the following programs?Sounds WriteUFLI FoundationsMultiLit - MiniLIt, MacqLitPLDRead3Talk for Writing or ReadingCracking the ABC CodeOrton-Gillingham/MSLLittle Learners Love LiteracySpelling MasteryMaths U See/Maths AustraliaMath MasterySpeld Qld requires Specialist Teachers to use evidence-based programs and teaching approaches. You must have training in a program to join our network.

Please attach any course certificates here *

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Provide a recent example of how you have used this program sucessfully. *

Do you have training or experience in any other specialised literacy or mathematics intervention program? *

Please provide your ABN *

Are you GST registered? *YesNoThis is not a requirement, however we suggest you investigate the current laws for further clarification.

Do you provide tuition under a registered business name? *YesNo

What is your business name? (if applicable)You may be operating as a sole trader, company or trust. Please indicate only a business or company name if it is registered with ASIC.

What year levels are you comfortable teaching?P-3Year 4 - 6Years 7 - 9Years 10 - 12Adult learnersOther

What areas are you happy to support?Literacy interventionNumeracy interventionGeneral Curriculum EnglishGeneral Curriculum MathsOther

What areas are you happy to support? - Other

How will you work with your students? *In my home/officeLibrary/OtherStudent HomeSchoolOnlineThe minimum requirements for tutoring from your home include: safe, distraction free environment tidy, clean and clutter free space no smoking or eating whilst students are present

How many hours are you available for taking students from Speld QLD Referrals? *2 - 4 hours a week5 - 10 hours a week10 or more hours a week

Referee 1 *Please provide the name, position, phone and contact email for your first referee

Referee 2 *Please provide the name, position, phone and contact email for your second referee

How frequently do you check your emails? *1 - 2 times a weekOnce a daySeveral times throughout the dayWhen we refer new students, we will do so via email. Let us know how often you typically check your emails.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to registration, I understand that false or misleading information in my application or interview may result in my removal and deregistration by Speld QLD. *Yes

Today's date *

Applicant First Name

Applicant Last Name

Mobile Phone Number

Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Please attach your resume here.

Drag and Drop (or) Choose Files

Please attach a copy of your tertiary qualifications here.

Drag and Drop (or) Choose Files

Do you have a current Blue Card or Blue Card Exemption?YesNo

Please attach your Blue Card or Blue Card Exemption here.

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With whom do you have a current QCT or relevant organisation registration? (This is not a requirement)QCTSpeech TherapyOccupational TherapyOtherI do not have any

Please attach your registration documents here (if any).

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Other registration (This is not a requirement).

Recent classroom teaching or intervention experience.

Recent tutoring (or 1:1 teaching) experience.

Number of years working with students as Teacher/Tutor/Professional.1 - 3 years3 - 9 years10 or more years

Do you have experience working with students with SLD's?YesNo

Do you have specialist training as an instructor or facilitator in any of the following programs?Sounds-WriteUFLI FoundationsMultiLit - MiniLIt, MacqLitPLDRead3Talk for Writing or ReadingCracking the ABC CodeOrton-Gillingham/MSLLittle Learners Love LiteracySpelling MasteryMaths U See/Maths AustraliaMath MasteryOther

Please attach any course certificates here.

Drag and Drop (or) Choose Files

Provide a recent example of how you have used this program successfully.

Do you have training or experience in any other specialised literacy or mathematics intervention program?

Please provide your ABN.

Are you GST registered?This is not a requirement, however we suggest you investigate the current laws for further clarification.YesNo

Do you provide tuition under a registered business name?YesNo

What is your business name? (if applicable)

What year levels are you comfortable teaching?Year P - 3Year 4 - 6Year 7 - 9Year 10 - 12Adult learnersOther

What areas are you happy to support?Literacy interventionNumeracy interventionGeneral Curriculum EnglishGeneral Curriculum MathsOther

How will you work with your students?In my home/OfficeLibrary/OtherStudent HomeSchoolOnline

How many hours per week?2 - 4 hours a week5 - 10 hours a week10 or more hours a week

Referee 1

Referee 2

Consent

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Become a Specialist Teacher/Tutor

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