Teacher_Exchange_Application_Form by Dave Tehan

Teacher Exchange Program Application A fee of $140 is to be paid upon lodgement of this application. The fee can be paid by cheque or money order.

Please Attach passport size photo here

Please note that if the application is unsuccessful you will be refunded $112.50.  2013 Application 1st round - due Friday 2 December 2011 2nd round 2 March 2012  2014 Application 1st round - due Friday 7 December 2012 2nd round 1 March 2013

PREFERENCES

1.1

Please indicate order of preference : Anywhere 

1.2

Canada 

United Kingdom 

Colorado (USA)



Country



State preferred area : Anywhere 

City



Large Town



1.3

Have you found a possible exchange partner? Yes  No  Insert details - Page 4

PERSONAL DETAILS

2.1

Surname _______________________________________________________________________

Mr 

Mrs 

Ms 

Miss 

Other  _________________

Given Name/s ______________________________________________Member Number____________ Address:

_______________________________________________________________________ ______________________________________________________Postcode__________

Home Phone

___________________________

Email Home

_______________________________________________________________________

Email Work

_______________________________________________________________________

Date of Birth

_______________________________ Religion (optional) ________________________

Place of Birth

_______________________________________________________________________

2.2

_______________________________________________________________________

School

Mobile____________________________________

Address (Site) ______________________________________________________Postcode__________ (Postal)

______________________________________________________Postcode__________

Principal

________________________________Email___________________________________

School Phone

_______________________________Fax ____________________________________

2.3 Passport Details Passport Number _________________________Nationality___________________ /mnt/tmp/tmpgqozNM

Page 1

Applicants and all parties accompanying them on exchange must have current passports. Please state the date and place of issue and expiry date:_________________________________________________ ____________________________________________________________________________________ 2.4

Present Annual Salary Gross ________________________________ Net (after tax) ______________________________

2.5

Additional Personal Details. Please give details of all family members accompanying you on the exchange. NAME

2.6

RELATIONSHIP

DATE OF BIRTH

OCCUPATION

Medical Certificates (costs to be met by applicants)

United Kingdom - If you are applying for exchange to the United Kingdom you must provide a current medical certificate, signed by your Doctor, stating your current medical condition. Canada - All successful applicants will be required to undergo a full medical examination at the time of applying for a Canadian Visa. Full details will be available following confirmation of an exchange. USA â&#x20AC;&#x201C; to be advised at time of application. (i)

Specific details of any absences you have had from teaching of three consecutive days or more

of sick leave, during the last three years, together with details of any major illness or accident during the preceding ten years. ________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ (ii)

Are any of your family members receiving medical treatment?

If yes, please give details________________________________________________________________ ____________________________________________________________________________________ (iii)

Do any accompanying family members suffer from physical disability and/or allergy?

If yes, please give details________________________________________________________________ ____________________________________________________________________________________ 2.7

Contact Person (not travelling on exchange) to be notified in case of emergency:

Name

__________________________________________Relationship_______________________

Address

__________________________________________Phone ___________________________

3. EDUCATION, TRAINING AND EXPERIENCE 3.1

Length of Pre-Service Teacher Education _________________________________________(yrs)

3.2

Teaching Experience_________________________________________(a minimum of five years)

/mnt/tmp/tmpgqozNM

Page 2

3.3

Teacher Registration No. ______________________________________(attach a copy)

3.4

Details of Tertiary Education

Title of Degree

3.5

University attended

Details of degree

Dates

Copy award attached

Other Courses Attended please give details, dates and duration (attach copies of awards)

Language Fluency - Other than English (Rate on a scale 1 - very limited to 5 - very good) Language

3.7

Understanding

Reading

Writing

Overall Rating

Teaching Experience (At home and, if applicable, overseas - prior to present appointment.) Name of Employer

3.8

Speaking

Name and Address of School

From

Position Held/ Classes Taught

Other Work Experience

Please state the details of any employment or other activity before commencing teaching or during any gaps in your teaching career._____________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 4.

EXCHANGE POSITION DETAILS

4.1

Possible exchange partner identified, please provide the details.

Name___________________________________________Home Phone__________________________ Home Address______________________________________________________Postcode___________ School/Institution__________________________________School Phone_________________________ /mnt/tmp/tmpgqozNM

Page 3

4.2

Your Present Position______________________________________________________________

School___________________________________________School Website________________________ Employing Authority____________________________________________________________________ Cultural Intake____________________________________Number of Pupils_______________________ Head of Department_________________________Number of Staff (Dept/School) __________________ 4.3

Current teaching assignment

Presently Teaching

Grade/Year Level

Subjects

Age Range of Pupils

4.4

Willing to teach

4.5

Qualified to teach

4.6

Teaching assignment for incoming teacher - After consultation with your principal or other appropriate official please indicate what the incoming exchange teacher will be required to teach. Present Assignment Yes  Other - outline below  Any flexibility to incoming teacher’s skills 

Other

Grades/Year Level

Subjects

Age Range

4.7

Do you have other responsibilities? Will your exchange partner also be expected to take on other responsibilities? (Please outline)

4.8

Contacts - professional and social/community contacts are required to assist an exchange

partner. (a)

Professional Contact (at your school)

Name_______________________________________________________________________________ Address __________________________________________________________Postcode___________ Phone ______________________________Email____________________________________________ Position in School______________________________________________________________________ /mnt/tmp/tmpgqozNM

Page 4

(b)

Personal (social and community)

Outside Interests/School Activities (please list any in which you would be prepared to take part.)

____________________________________________________________________________________ ____________________________________________________________________________________ 4.10 Date of School Terms for the proposed exchange year (include student-free days, commencement and closing dates). Please also specify the year as well as the month for each term date. TERM 1

TERM 2

TERM 3

TERM 4

A copy of your current time-table must be attached to each completed application form. 4.11 Have you applied for exchange: (a) Previously____________________________

(b) Elsewhere____________________________

4.12 Have been on exchange before?

Yes  No 

If Yes, where and when _____________________________________________________________________

4.13 Professional Study Project (please consult with your Principal before completing this section) ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 5.

PROTECTION OF CHILDREN - DISCLOSURE OF CRIMINAL BACKGROUND

You will be required to undertake a National Police Check following full confirmation of your exchange. 5.1

Have you been convicted of any criminal offence?

Yes  No 

5.2

Are any proceedings pending against you?

Yes  No 

5.3

If Yes to any of the above, please give full details________________________________________

____________________________________________________________________________________ /mnt/tmp/tmpgqozNM

Page 5

____________________________________________________________________________________ 5.4

The overseas authorities may require further employment checks.

Do you agree to them

contacting your Home Employing Authority? If yes - contact details. 5.5

Yes  No 

If you are applying for an exchange to Canada, along with your Australian criminal check, you will be required to obtain a Canadian criminal records check either prior to your exchange or once arrived.

Employing Authority ___________________________________________________________________ ABN Number_________________________________________________________________________ Contact Name____________________________________Position______________________________ Postal Address________________________________________________________Postcode_________ Phone___________________________________________Email________________________________ 6.

ACCOMMODATION/CAR/PETS EXCHANGE

This information is required to assist in the matching process. However, QIEU/IEUA–QNT does not become involved in the detail of these exchange areas. It is the responsibility of the exchange teachers to reach and honour agreements for these areas (including costs and maintenance). NOTE – It is not recommended to exchange vehicles or pets as both can place strains on an exchange. 6.1

Any household pets or livestock of any kind, please give details and the arrangements being made for their accommodation whilst you are on exchange.

____________________________________________________________________________________ ____________________________________________________________________________________ 6.2

Do you have a car you wish to exchange?

Yes  No 

If yes, you may be required to provide a safety report on your car regardless of age/condition. Please give details of make, size, year etc. _______________________________________________________________________________ ____________________________________________________________________________________ 6.3

If offered an exchange, are you willing to exchange your own accommodation?

Yes  No 

Are you prepared to ensure that your exchange will have suitable accommodation and household goods/appliances of a permanent nature if you are not exchanging homes?

Yes

No 

/mnt/tmp/tmpgqozNM

Page 6



6.4

If the exchange accommodation is shared with anyone who will remain in the accommodation whilst you are overseas, full details of the arrangement envisaged must be outlined.

Is the accommodation: (a)

owned by you?

Yes  No 

(b)

being paid off (mortgage)?

Yes  No 

(c)

rental accommodation?

Yes  No 

(d)

share accommodation?

Yes  No 

If yes to (c) or (d) please provide full details: ________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 6.7

What insurance coverage do you have on house and contents? Have you cover for emergency accommodation costs to be met by the insurance company should the situation arise (fire, flood, etc)? Will your insurance be valid when your house is occupied by the overseas teacher including the emergency accommodation? _______________________________________________________________________________

colours photographs of the home to be exchanged a floor plan showing the layout of the home a list of major furnishings and a list of major appliances to be included in the exchange accommodation.

6.8

How many people can be accommodated?_____________________________________________

6.9

Do you or any person accompanying you on the exchange smoke?

Yes  No 

6.10 Would you be prepared to have smokers living in the accommodation provided? Yes  No 

/mnt/tmp/tmpgqozNM

Page 7

6.11 Give details of the number of bedrooms, (size and if suitable for children/adults); give details of other rooms. Method of heating/cooling is very important. Number

Suitability (Adult/child)

Approx size

Heating/Cooling

6.12 Does your accommodation include a pool?

Yes  No 

Please note - That pools are not as common place in the northern hemisphere. Special arrangements may need to be put in place for the proper maintenance of the pool.

6.13 State the distance from your accommodation to: a)

Your school

___________________________________________________________

Do you travel to work via a highway/motorway?

Yes  No 

If yes, please provide details of average speed, etc. _________________________________ b)

Center of town

Nearest

shopping

centre

Nearest

primary

school

Nearest

secondary

school

6.14 Outline public transport availability including distance from accommodation:___________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 7.

DETAILS OF LOCALITY

Please give brief notes, including population, distance from major cities, nearest station/airport, other transport, churches, educational facilities, nearby places of interest and entertainment. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ /mnt/tmp/tmpgqozNM

Page 8

____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 8.

DETAILS OF SCHOOL

Please include any extract from your school prospectus (A4 single sided) or website address, which will enable a potential overseas partner to decide whether the size, type, location, facilities, philosophy, syllabus, etc are acceptable. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

/mnt/tmp/tmpgqozNM

Page 9

PERSONAL PROFILE

When your application form is submitted to a prospective partner and school, it will provide the basis for their decision on whether or not to proceed with an exchange.

You may therefore enhance your

chances by including here further personal/family details, interests, reasons for exchange, if not already included in your application form. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 10.

EXPECTATIONS FOR AN EXCHANGE

Please describe your expectations for undertaking an exchange. Cover any special interests in this section.______________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ /mnt/tmp/tmpgqozNM

Page 10

11.

SIGNATURES

Please note the ‘Protocols for Exchange Program’ document at the end of this application. The Protocols are not legally binding but set out a description of the mutual obligations of the coordination bodies, exchange participants and their schools/employing authorities. 11.1 APPLICANT’S STATEMENT AND SIGNATURE Please be aware if you are currently applying for any other teaching position you are not eligible for an exchange position. The following documents must be attached to each completed application form: • Supporting reference from your Principal • Supporting reference from your Head of Department • Supporting reference from your Parish Priest (if exchanging to religious institute school) I state that all information given in this application (and relevant supporting documentation) is true and correct. I have attached recent references as per the above list. Signature of Applicant__________________________________________________Date_____________________ Applicant’s Declaration of Interest: If granted an exchange, I: 1.

Agree to teach in the position made available for the full period of the exchange, and agree to return to my former position at the end of the exchange period unless alternative arrangements have been made in writing. Accept the conditions relating to the breakdown of exchange as outlined in clauses 6 & 7 in the Protocols. Agree to exchange accommodation or make arrangements for accommodation suited to the needs of my exchange teacher.

2. 3.

Signature of Applicant__________________________________________________Date_____________________ 11.2 PRINCIPAL / EMPLOYING AUTHORITY RECOMMENDATION Please note the ‘Protocols for Exchange Program’ document at the end of this application. The Protocols are not legally binding but set out a description of the mutual obligations of the Coordination Bodies, exchange participants and their schools/employing authorities. You should note there are two sections for you to particularly consider - the number of days available for professional development days (clause 3) and annual or sick leave (clause 4). The Protocols document can be signed now if you wish or wait to see if a match is found and you will then know the details of the incoming teacher and their school. Applicant Name__________________________________________________Position_______________________ School______________________________________________________________________________________ This section is to be signed by an authorised representative of the applicant’s Employing Authority and the applicant’s Principal. It is essential that consideration is given to the applicant’s background as well as academic qualifications and success as a teacher. (a)

Principal

For a successful exchange experience, an exchange teacher must possess many special tributes. Some of these are to: • • • • • • • •

Be flexible and adaptable Have a successful track record of effective teaching / professional ability Have classroom management skills and the ability to work with students and gain their respect Have the ability to earn the respect of colleagues Be tolerant of divergent views Have proven communication skills Be capable of representing the school/employing authority and its educational practice Have a commitment to professionalism

Yes  No 

Do you consider the applicant suitable for Overseas Teacher Exchange? /mnt/tmp/tmpgqozNM

Page 11

Do you support this application for exchange in the nominated year?

Yes  No 

Are you prepared to accept an exchange outside the Australian school year, – Mid-July to June

Yes  No 

In endorsing this application, we ask that you: 1. 2. 3.

Read the application so that your teacher can then discuss with you any possible variations in timetabling or teaching role which may apply to an exchange teacher Read the attached Protocols for Exchange Program Provide a reference

For Employing Authority Use

_____________________________________(applicant’s name) of whom particulars are given on this form, is recommended on the grounds of personal character and teaching ability as a suitable applicant for an exchange under the QIEU/IEUA-QNT Teacher Exchange Program. ___________________________________________________Signature ___________________________________________________Official Status ___________________________________________________Organisation / School In signing this document, teachers and employers committing to the exchange acknowledge that to the extent commitments are made and legal relations created, those commitments are between the parties to the exchange and not the QIEU / IEUA-QNT which simply acts as a facilitator to the exchange. Interviews: QIEU/IEUA-QNT may require an interview in support of your application. Please telephone Kay Holloway on (07) 38397020, or Freecall - Qld 1800 177 937; NT 1800 351 996, to make an appointment for an interview by phone or in office.

MAIL YOUR APPLICATION TO: QIEU & IEUA-QNT Teacher Exchange Co-ordinator PO BOX 418 FORTITUDE VALLEY QLD 4006 NOTE: IF YOU ARE CURRENTLY APPLYING FOR ANY OTHER TEACHING POSITION YOU ARE NOT ELIGIBLE FOR AN EXCHANGE POSITION

/mnt/tmp/tmpgqozNM

Page 12

CHECK LIST Please ensure all attachments are on A4 size paper – Single Sided Photo – passport size secured to your application Choice of Destinations – numbered for preference or you may be open to wherever there is an opportunity Please send one additional photocopy for each country you are interested in e.g. If you are applying to Canada (first choice) and the United Kingdom (second choice) please send two photocopies of your application as well as the original. Supporting references from your: - Principal, - Head of Department; and - possibly your Parish Priest Expectations for an Exchange and Professional Study Project discussed with your Principal Accommodation - Photos - Floor Plan (measurements if possible) - List of major furnishings - List of major appliances Websites about your area Details of School A4 Extract of prospectus and website address if available Signatures are required at Question 11 – 2 from applicant, then 1 each from the Principal and the Employing Authority

MAIL YOUR APPLICATION TO: Kay Holloway QIEU/IEUA-QNT Teacher Exchange Co-ordinator PO BOX 418 FORTITUDE VALLEY QLD 4006

/mnt/tmp/tmpgqozNM

Page 13

Protocols for Exchange Program Coordination Bodies 19 November 2007 (Ver 2)

Preamble: It is recognised that exchange programs have significant value in the promotion of international understanding and goodwill, in fostering international communication and the exchange of ideas while providing mutual benefits for participants, educational communities and students in preparation for global citizenship. In an attempt to provide more uniform understandings of exchange protocols across all participating educational and exchange coordination authorities [Coordination Bodies], the National Council for International and Interstate Teacher Exchange [NCIITE] of Australian states and territories, along with partner organisations internationally, desire to set out universal protocols for the establishment and maintenance of an Exchange Program. These protocols are not a legally binding document but set out a description of the mutual obligations of the Coordination Bodies. This document might also provide guidance where the exchange of non-teaching staff within educational settings is undertaken.

Definitions: Exchange Participant – a staff member who swaps positions with another staff member from a different educational authority. Employing Authority – the educational authority from which a staff member exchanges Host Authority – the educational authority to which a staff member exchanges Coordination Body – an organisation which facilitates and oversees exchange processes

/mnt/tmp/tmpgqozNM

Page 14

Part I: Obligations of Coordination Bodies 1. Determine the number and duration of exchanges in consultation with each other. Standard duration is one year. 2. Make suitable arrangements for the advertisement and promotion of the exchange program. 3. Facilitate recruitment and selection processes for Exchange Participants. a. Exchange Participants should possess particular qualities and abilities in order to ensure the success of their placements. At a minimum, the information required at application time should include: i. Applicant name, personal contact information, and accommodation details ii. Accompanying family members and details of required accommodation iii. Name of current Employing Authority and contact details (updated as required) iv. Work history and current work assignment v. Details of the duties and/or teaching subjects and levels that the applicant is able and willing to undertake while on exchange vi. Details of the duties and/or teaching subjects and levels that an incoming Exchange Participant would be expected to undertake on exchange vii. Current references and endorsement from supervisors that the applicant is able to fulfil exchange duties (particularly in reference to item â&#x20AC;&#x153;eâ&#x20AC;? following) b. The selection process should take account of all factors relevant to applicant suitability, including professional qualifications and experience, personal qualities and medical fitness. c. Applicants considered for exchange should have at least five years' cumulative relevant experience, unless considered otherwise suitable by the Coordination Bodies. d. Each applicant should, where possible, be personally interviewed regarding their exchange intentions and suitability through a face to face meeting or via phone with a direct supervisor, Coordination Body representative, or an external nominee. e. In making a judgement as to whether to recommend an exchange applicant, excellence should be evidenced in the areas of: i. flexibility and adaptability ii. successful track record of effective teaching / professional ability iii. classroom management skills and the ability to work with students and gain their respect iv. ability to earn the respect of colleagues v. tolerance of divergent views vi. proven communication skills vii. capacity to represent the location and its educational practice viii. commitment to professionalism. f.

Exchange Participant suitability to work in schools should be verified through appropriate probity checks.

/mnt/tmp/tmpgqozNM

Page 15

4. Undertake matching processes within a reasonable period of time as agreed by the Coordination Bodies. a. Following agreement by the Coordination Bodies that a specific proposal is suitable, exchange proposals are to be considered by the Exchange Participants and their Employing Authorities. b. During proposal consideration, Employing Authority representatives may, after advising the Coordination Bodies, choose to communicate directly with the proposed exchange counterpartâ&#x20AC;&#x2122;s Employing Authority to clarify issues or to gain further details. c. While considering the proposal, Exchange Participants may also make requests for additional information before making a final decision. These requests are normally made through the Coordination Bodies. d. An exchange proposal requires acceptance in writing by both Employing Authorities and Exchange Participants before it is finalised. e. Each Host Authority will take incoming Exchange Participant qualifications, experience and requests into account when assigning duties. f.

Exchange Participants recognised as qualified by their Employing Authority will be accorded qualified status in the Host Authority for the period of, and purposes of, exchange. Exchange Participants may additionally be required to undertake registration processes in accordance with Host Authority requirements.

5. Cooperate in the provision to other Coordination Bodies of essential information for the exchange, including such matters as: a. Method of application b. Visas and work permits c. Participant registration requirements (if applicable) d. Medical arrangements and workers compensation / employer liability insurance e. Payment of salary f.

Taxation, exchange control and other relevant financial issues

g. Employment practices which may affect accompanying spouses, de facto partners, or dependents h. Educational provision for accompanying children. 6. Ensure that pre-exchange briefing and organisational assistance is provided to participating Host/Employing Authorities and Exchange Participants on professional, financial, private and other matters relevant to the exchange. 7. Ensure that adequate orientation of incoming Exchange Participants and facilitate their integration, socially and professionally. 8. Ensure that participating Exchange Participants and Host/Employing Authorities sign appropriate documentation to indicate their understanding of the exchange obligations as outlined in Part II following.

/mnt/tmp/tmpgqozNM

Page 16

Part II: Obligations of Parties (Exchange Participants, Host Authorities and Employing Authorities) involved in Exchange Coordination Bodies should ensure that the following information is agreed to and signed by Exchange Participants and Host/Employing Authorities prior to exchange commencement. 1.

OVERVIEW: The exchange involves the swap of professional work assignments for the duration of an agreed exchange period between two Exchange Participants who remain in the employment, and continue to receive salaries from, their respective home Employing Authorities. a. b. c. d.

e. f. g. h. 2.

The exchange period is from ________ to _________ (eg, 1 Jan to 31 Dec). The Exchange Participant is required to complete the entire exchange period, after which they will return to their Employing Authority. The Exchange Participant is not entitled to return to their substantive Employing Authority position during the exchange period, unless the exchange counterpart agrees and both Employing Authorities permit. The Exchange Participant will undertake exchange duties in accordance with the requirements of the Host Authority, irrespective of their substantive position within their Employing Authority. The Host Authority will take the Exchange Participantâ&#x20AC;&#x2122;s qualifications and experience into account when assigning duties. During the exchange period, the Exchange Participant will work under the direction and abide by the requirements of the Host Authority in relation to the delivery of curriculum, teaching and disciplinary methods and practices, or other professional duties as appropriate. The Exchange Participant will not seek, nor the Host Authority offer them, a position of permanent service during the exchange and for one year following. The Exchange Participant will not apply for, nor the Employing Authority facilitate, any promotion position or transfer to a position that must be taken up during the exchange period. The Exchange Participant is not entitled to participate in any scholarship or fellowship program while on exchange which will impinge on the exchange.

ORIENTATION: In-school orientation will be provided by the Host Authority to the visiting Exchange Participant, including: a. b. c.

day one or prior-to-school orientation; appointment of a school support sponsor to help ensure the provision of prepared programs, plans and resources, and to assist in the establishment of a classroom; regular feedback to the Exchange Participant as to performance.

PROFESSIONAL DEVELOPMENT DAYS: The visiting Exchange Participant will be provided professional development days as available to regular staff within the Host Authority. a. The number of additional exchange-specific professional development days provided to the visiting Exchange Participant to be used toward exchange-specific professional activities, school visits and conferences will be: ________ (individual Host Authority nominations may differ)

LEAVE: The visiting Exchange Participant will be entitled to annual or sick leave in accordance with the usual entitlements of Host Authority employees. Any leave taken during the exchange will reduce future entitlements for the Exchange Participant with their Employing Authority. a. b.

The Host Authorities will fund replacement staff costs for this leave up to the following number of days (eg, 20 days): ________ (number to be reciprocated) After this number of days, the Employing Authority will be consulted for leave approval, and will be liable for the cost of subsequent replacement staff costs.

EXCEPTIONAL CIRCUMSTANCE LEAVE: Approval must be obtained from both the Host and Employing Authorities where leave for exceptional circumstances is requested by an Exchange Participant. The Employing Authority is liable for replacement staff costs for the period of approved leave. Any leave taken will reduce future entitlements for the Exchange Participant with their Employing Authority. Maternity leave will be

/mnt/tmp/tmpgqozNM

Page 17

approved and resulting replacement staff costs funded by the Employing Authority as per Employing Authority entitlements. (If the exchange is terminated by an Exchange Participant due to pregnancy, Item 6 terms will apply.) 6.

EARLY TERMINATION BY EXCHANGE PARTICIPANT: Exchange is a serious commitment, particularly in view of student rights to uninterrupted education for the agreed exchange period. Therefore, it is acknowledged that early termination will cause inconvenience, have serious financial implications, and may compromise the future career of the Exchange Participant seeking termination. If, after discussion with their Exchange Coordinator, the visiting Exchange Participant terminates the exchange early:

their exchange counterpart will continue in the Host Authority exchange position for the remainder of the pre-determined exchange period (unless the Host Authority, Employing Authority, the exchange counterpart and Exchange Participant agree to terminate the exchange with effect from some earlier date – in which case until that date).

From the date of any early return or early withdrawal until the date the exchange was due to conclude (or other date as agreed), the Exchange Participant shall be deemed to be on leave without pay (unless the participant applies for and would in usual circumstances be entitled to receive paid sick leave, or the participant has accrued entitlement to extended leave and applies for such extended leave, in which circumstance the Exchange Participant shall be granted such leave).

EARLY TERMINATION BY HOST AUTHORITY: The Host Authority may terminate the services of the visiting Exchange Participant on the following grounds: for reasons of negligence, inefficiency in relation to their duties, improper conduct, or being charged with a criminal offence requiring suspension. In the case of such termination, the exchange counterpart will continue in the Host Authority position for the remainder of the pre-determined exchange period, unless the Host Authority, Employing Authority, exchange counterpart and Exchange Participant agree to terminate the exchange with effect from some earlier date. Host Authority concerns regarding a visiting Exchange Participant’s efficiency in the performance of their duties or any other issue should be raised at the earliest opportunity with the Exchange Participant, Employing Authority and Coordinating Bodies. All parties will cooperate to promptly resolve allegations or disputes. Conditions of Termination: a.

Termination for performance issues may be considered after the visiting Exchange Participant has had the opportunity to respond to, and address clearly, outlined teaching/professional expectations from the Host Authority.

Termination arrangements should first be discussed with the Employing Authority. If, for performance issues, evidence indicates that all support options have been exhausted, or, for other grounds, that appropriate procedures have been followed, then the Employing Authority should support the Host Authority’s early termination decision.

The Exchange Participant whose assignment has been terminated will be subject to the applicable legislative and industrial processes of their Employing Authority upon their return which may be: disciplinary action, alternative placement, access to paid or unpaid leave, or eligibility for casual employment with their Employing Authority.

/mnt/tmp/tmpgqozNM

Page 18

WORKERS COMPENSATION / EMPLOYER LIABILITY INSURANCE: Exchange participants will continue to be covered by their Employing Authority for workers compensation for injuries sustained in the normal course of their duties for the Host Authority according to the scheme of the Employing Authority. Appropriate alternative insurance must be organised by the Exchange Participant where their Employing Authorityâ&#x20AC;&#x2122;s insurance does not cover them during exchange.

PERSONAL RESPONSIBILITIES OF EXCHANGE PARTICIPANTS: Exchange Participants are personally responsible for: a. arranging to exchange accommodation or otherwise provide suitable accommodation for their exchange counterpart for the duration of the exchange, and if returning home before the completion of the exchange, to provide the original accommodation for their counterpart for the remainder of the exchange (or such alternative as desired by the Exchange Participants). i. Terms of accommodation must be negotiated directly between the Exchange Participants and are wholly their responsibility. ii. After acceptance of the exchange, any change in accommodation requires approval by the exchange counterpart and notification to exchange coordinators. b. providing evidence of satisfactory health prior to the exchange, and funding all health and medical expenses and any insurance required for self and dependents while on exchange; c. organising and funding all exchange travel arrangements and associated costs for self and dependents; d. complying with registration requirements of the Host Authority, and with normal immigration and entry requirements of the host country.

10. OBLIGATIONS OF PARTIES - AGREEMENT SIGNATORIES Please sign to acknowledge that you have read the protocols. Principals / Employing Authorities please ensure you have completed 1(a); 3(a); 4(a). a.

Exchange Participant ___________________________________________Date_____________

Employing / Host Authorities

Principal_________________________________________________________Date_____________ Employing Authority________________________________________________Date_____________ Position Title______________________________________________________

/mnt/tmp/tmpgqozNM

Page 19