Section 6: Indicate with a tick that you have read and understood the following:
In addition to this declaration, you may be asked to agree to Criminal History or other background history screening or assessment.
You will not be further considered for an oer of employment in the South Australian public sector if you do not agree to participate
in such history or other background screening or assessment.
If you are oered and accept employment in the South Australian public sector, it will be a condition of such employment that you
agree to periodic history or background screening or assessment.
The following questions are also designed to assist in assessing your suitability to be employed in the South Australian public
sector with regard to the signicant ethical obligations on public sector employees
5. Has your employment been terminated by any organisation, including a South
Australian public sector agency, for any reason?
6. Have you been the subject of allegations or an investigation or any other process
relating to alleged unsatisfactory performance or misconduct by you as an employee?
7. Are you currently, the subject of an investigation or any other process relating to
suspected or alleged misconduct or other unsatisfactory performance by you?
Please give further information if ‘Yes’ has been ticked
VOLUNTARY SEPARATION AND REDEMPTION OF WORKERS COMPENSATION ENTITLEMENTS:
8. Have you ever received any voluntary early retirement or voluntary separation package from
employment in the South Australian public sector, including accepting a ‘Change in
Direction’ or ‘Teacher Renewal’ incentive payment or ?
9. Have you resigned from employment in the South Australian Public Sector or private
employer upon the redemption of workers compensation entitlements?
Commencement date of agreement
I declare that the information in this declaration and in any other documents completed by me and/or any other statement made
by me in support of my application for employment in the South Australian public sector, and the information provided by me in
connection with my application for employment in the South Australian public sector, including in any interview, is true and correct
in every detail.
DISCLOSURE OF CONFIDENTIAL INFORMATION
I acknowledge that if I am employed in the public sector either in the role for which I have been oered or in any other role, I
may, during the course of that employment, gain access to condential information. Detailed provisions regarding disclosure of
condential information are contained in relevant public sector legislation, regulations, determinations, guidelines and industrial
instruments. Without detracting from such sources, unless such information is clearly not of a condential nature, and unless I am
expressly advised to the contrary by someone with requisite authority, policy or as required by law all information I gain access to
as a public sector employee is to be treated as condential. The expression “condential information” as used in this declaration
means all information which must be treated as being of a condential nature. I understand that I must not disclose or make use
of that condential information, during or after that employment, except in the proper course of my duties and/or with requisite
authority and/or otherwise according to law. In particular, I undertake not to use any condential information gained by virtue of
any public sector employment, with the intent of securing a benet for myself, any person, company or any future employer. In any
case where I am in doubt as to whether information gained during employment in the South Australian public sector is condential
and/or how such information should be managed, I undertake to seek advice and instruction from a supervisor or manager.
POTENTIAL OR ACTUAL CONFLICT OF INTEREST
I undertake that if I am employed in the public sector either in the role for which I have been oered or in any other role, I will not
engage in any external or private activities which will result in a conict or potential conict of interest with any of my duties as
a public sector employee. I am aware that detailed provisions regarding conict of interest and disclosure of conict of interest
are contained in relevant public sector legislation, and guidelines. Without detracting from such sources, in any case where there
is any possible doubt regarding a potential conict of interest, I undertake to seek advice and instruction from a supervisor or