Application form for the role of Administrative Assistant

Please indicate below the position(s) for which you wish to be considered:

  1. Administrative Assistant, NIPT

Base: Dublin West Education Centre, Tallaght, Dublin 24 D24 PX58

  1. Administrative Assistant, HSCL

Base: Dublin West Education Centre, Tallaght, Dublin 24 D24 PX58

  1. Administrative Assistant, PDST

Base: Professional Development Service for Teachers,

14 Joyce Way, Park West Business Park, Nangor Road, Dublin 12

Notes for applicants

Completed application forms should be submitted as an e-mail attachment only by5 pm on Monday, 10 July 2017 to

Late or incomplete applications will not be accepted.

Receipt of completed application forms will be acknowledged.

Only information submitted on the application form provided will be considered. CVs will not be accepted.

For Office Use Only
Date Received
Application Number

1.Personal details

Name
Address
Telephone numbers / Home / Mobile
E-mail
Driving licence (please tick) / Full licence / Provisional licence

2.Education Details

Second Level School(s) attended / From / To
Second Level School(s) attended / From / To
Third Level Institution(s) attended / From / To
Third Level Institution(s) attended / From / To

3.Qualifications, including post-graduate

Year(s) / Title / Major subject(s) / Awarding body / Grade obtained / NFQ level

4.Work Experience

[Please start with the most recent or current position]

Current Employer
Date of employment
Address
Position Held
Duties include:
Previous Employer
Date of employment
Address
Position Held
Duties included:
Reason for leaving:
Previous Employer
Date of employment
Address
Position Held
Duties included:
Reason for leaving:

5.Please state why you consider yourself suitable for the described position(s)

6.References – please provide details of two people from whom references may be obtained.

Contact details – Referee 1

Referee’s name
Position
Address
Telephone numbers
E-mail

Contact details – Referee 2

Referee’s name
Position
Address
Telephone numbers
E-mail

DWEC reserves the right to verify this information and/or to seek additional referees if deemed appropriate.

Candidates will be consulted before referees are contacted.

I hereby certify that all information provided on this application form is true and correct:

Signature of applicant
Date

1