NSW Education Standards Authority
Supervisor’s Declaration Form
This form is to be completed if you are casual teacher at multiple schools, teach at a
TAFE/University or Community Languages School (CLS)*.
*If you work at a CLS and also at a K-6 school, please ensure that your principal of the K-6
school and supervisor of the CLS both complete this form.
Once complete, scan and email this form to markersupport@nesa.nsw.edu.au
Name of applicant: ____________________________________User Id: ________________
Principal’s Declaration
• If it is necessary for this applicant to be released before the end of the school
day/before close of business to ensure their timely arrival at the marking centre to start
by 4.00pm on weekdays, I will make the necessary arrangements to facilitate this.
Allocated parking is a 15-20 minute walk from the marking centre and applicants will
need to be present in the centre by 4pm.
• I understand that, in certain cases, briefings may be conducted during school hours. I
agree to release the applicant to attend these. I understand that NESA will pay for the
cost of relief staff to replace the applicant (if employed by a school or Institute of TAFE)
if they are absent on these days.
• If the applicant is appointed to Day and/or Itinerant marking, I agree to release that
person for timely attendance at all sessions. I understand that NESA will pay for the
cost of relief staff to replace the applicant (if employed by a school or Institute of TAFE)
if they are absent on these days.
I declare to the best of my knowledge that the applicant’s details provided in this application
are correct and support this application.
Principal Name: ____________________________________________________________
Place of Work: _________________________________Contact Number: _____________
Principal Signature: _________________________________________________________
Supervisor’s Declaration
I declare to the best of my knowledge that the applicant’s details provided in this application
are correct and support this application.
Supervisor Name: ___________________________________________________________
Place of Work: _________________________________Contact Number: _____________
Supervisor Signature: _______________________________________________________
Office Use Only MS Officer: __________ Date processed: ___________
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