Application Form for Temporary Ruralgeneral Operative(Band 3)

APPLICATION FORM FOR TEMPORARY RURALGENERAL OPERATIVE(BAND 3)

NATIONAL PARKS and WILDLIFE SERVICE, EASTERN DIVISION,

MIDLANDS REGION

Please complete all applicable sections in block capitals. All applications will be assessed and may be short-listed based on the information provided on this form. Please give clear and specific answers to all questions where requested.

1. NAME, ADDRESS AND CONTACT DETAILS

First Name: ______Surname: ______

Address: ______

______

Contact Telephone: ______ Mobile: ______

(Or number where message can be left)

Email Address(if available): ______

DRIVING LICENCE please tick yes □no □STATE CATEGORY OF LICENCE ______

A full, clean CATEGORY b driving licence is essential to this position and applicants who do not hold one will not be considered. PLease note that you will be required to bring your licence with you if you are called to interview.

Being licenced to drive other categories of vehicle (W, C, C1, etc.) would be a distinct advantage.

2. DETAILS OF CERTIFICATES HELD:

You must attach copies of certificates for all relevant qualifications and courses you have completed to this application and indicate the year the qualification or course was completed- failure to do so will result in your qualification or the course being discounted during short-listing.

Please state if you hold any of the following certificates:

Safe Pass Yes□No □ Year cert expires: ______

Manual Handling Yes□No □ Year cert expires: ______

First Aid Cert Yes□No □ Yearcert expires: ______

Chainsaw training Yes□No □ Year cert expires: ______

Spraying PA1, PA6AYes□No □ Year cert expires: ______

COSHH trainingYes□No □ Year cert expires: ______

Please list any other certificates you have obtained:

CertificateYear cert expires

______

______

______

______

3. DETAILS OF PREVIOUS AND CURRENT EMPLOYMENT:

(Please state if on Public Service career break or leave of absence)

Employer From date(MM/YY) – To date (MM/YY) Position held Reason for leaving

______

______

______

______

______

______

4. GIVE DETAILS OF YOUR PREVIOUS GENERAL OPERATIVE WORK EXPERIENCE

______

______

______

______

______

______

______

______

5. GIVE AN EXAMPLE OF YOUR PREVIOUS EXPERIENCE IN THE USE OF MACHINERY

______

______

______

______

______

______

6. GIVE AN EXAMPLE OF A SITUATION WHERE YOU DEMONSTRATED GOOD TEAMWORK.

______

______

______

______

______

______

7. GIVE AN EXAMPLE OF A SITUATION WHERE YOU SOLVED A PROBLEM USING YOUR OWN INITIATIVE.

______

______

______

______

______

______

8. If called for interview, do you require any special facilities? Yes□No □

If you require special facilities at interview (e.g. wheelchair access, sign interpreter, etc.) please specify the facilities required.

______

______

9. DECLARATION

I certify that the above details are correct.

Signature ______Date ______

FREEDOM OF INFORMATION DECLARATION
NOTE: Applicants should note that some or all of the information contained in this application may be released subject to the terms of the Freedom of Information Act, 1997.
If any of the information in this application is considered sensitive, please identify same and specify in writing the reasons for its sensitivity.
The Department will consult with you about sensitive information before making a decision on any Freedom of Information request received.

10. REFEREES

Please submit name and address of two referees. Referees should not be related to you and should ideally be present or previous employers if you are or were previously employed.

Name:______
Address:______
______
______
Phone No.:______
Email address (if available): ______
______/ Name:______
Address:______
______
______
Phone No.:______
Email address (if available): ______
______

Have you any objection to us contacting either of these referees without any further reference from you? Yes□No □

Please note that referees will only be contacted if you are successful at interview.

Please do not send Curriculum Vitae.
This Application Formand a signed passport photograph, should be sent to:
Dáire O’ Callaghan
Human Resources Unit,
Department of Arts, Heritage, Regional, Rural and Gaeltacht Affairs,
23 Kildare Street,
Dublin D02 TD30.
If you have any queries, please contact or Tel: (01) 631 3982.
Return completed application by3pm, Thursday, 23rd March, 2017.

Checklist

Have you provided a copy of your Category B driving licence?Yes□No □

Have you provided your contact details? Yes□No □

Have you provided copies of relevant certificates you hold? Yes□No □

Have you provided the start and end date of your current and previous employments? Yes□No □