Little Blessings
COMMUNITY CHILDCARE FACILITY
Before completing this form please note:
(1) A separate application form must be completed for each post.
(2) It is desirable that all pages of this form be fully completed
(i.e. complete with references etc.) at time of application.
Title of Post
CHILDCARE MANAGER
1.1 Surname ______
1.2 First Name(s) ______
1.3 Address ______
______
1.4 Nationality
1.5 Telephone: (Home) 1.6 Telephone: (Mobile)
1.7 Present Position
1.8 Employer
1.9 Employer’s Address
2. Childcare Qualifications
2.1 HEATC Level 7/8 or equivalent
(a) Award /Name Result
Year of Award Awarding Body
Subjects
______
2.2 FETAC Level 6 Qualifications or equivalent
Qualification Awarding Body
Year of Entry Year of Qualifying
Subjects Studies______
1. 2. 3. 4.
5. 6. 7. 8.
2.3 FETAC Level 5 Qualifications or equivalent
Qualification Awarding Body
Year of Entry Year of Qualifying
Subjects Studies______
1. 2. 3. 4.
5. 6. 7. 8.
2.4 Other Professional Qualifications (Include First Aid and Keeping Safe ect.)
Qualification Awarding Body
Year of Qualifying
Subjects Studies______
1. 2. 3. 4.
______
2.5 Other Professional Qualifications
Qualification Awarding Body
Year of Entry Year of Qualifying
Subjects Studies______
1. 2. 3. 4.
______
2.6 Other Professional Qualifications
Qualification Awarding Body
Year of Entry Year of Qualifying
Subjects Studies______
1. 2. 3. 4.
______
2.7 Other Professional Qualifications
Qualification Awarding Body
Year of Entry Year of Qualifying
Subjects Studies______
1. 2. 3. 4.
______
2.8 Other Professional Qualifications
Qualification Awarding Body
Year of Entry Year of Qualifying
Subjects Studies______
1. 2. 3. 4.
______
3. Work Experience in Childcare/ After School Care
Dates / Name of Organisation / P/TF/T / Role / Responsibilities
From / To
4. Non-Childcare Experience
Dates / Name of Employer / Address of Employer / Nature of Work / Position heldFrom / To
5. Professional
In-service Courses
Dates / Title of Course / Name of Course Organisers / Nature of Award6. Health
Have you ever had any serious illness? If so give details of medical doctor to whom (with your permission) we would have our medical practioner contact.
______
7. Interests/Hobbies (in order of importance to you).
______
8. Name of Two Referees (who may be contacted without further communication with you).
Name Name and Address of Contact Telephone No.
Organisation
1.______
2.______
What type of work you would be available for full or part-time
______
I certify that the above information is correct and consent to Garda Vetting if awarded the position.
Signature of applicant: ______
Date: ______
NOTE:
· Copies, which shall not be returned, of two recent references (within the last two years and preferably from a current employer) should accompany this form.
· Closing date for receipt of completed application forms is not later than Friday 18thh September at 4.00p.
· Canvassing will disqualify.
· Little BlessingsCommunity Childcare Facility is an Equal Opportunities Employer.
Please return all completed application forms to
AndyMcKeown, Chairperson, Little Blessings Community Childcare Facility, Ballynacarrgy, Mullingar, Co.Westmeath