Public Appointments ServiceClerical 2016

Clerical Positions in the Civil and Public Service

Supplementary Application Form

Please Note:For official use only

  • Forms must be typed;
  • Carefully complete all parts of this form;
  • The onus is on applicants to ensure that all relevant information is supplied in this form;
  • Bring 3 copies with you to interview;
  • Do not submit any additional documents unless requested.
  1. Contact details

Name: / Candidate ID
Address:
Landline No: / Mobile No:
Email Address:

**** Please ensure you sign and date this form

  1. Signed: ______Date: ______
  1. Education(Primary education is not to be included)

Awarde.g. Leaving Certificate or Level 5 Cert (Major award) etc / Subject(s) / Grade A, B etc / Level
Higher/ Ordinary / School / College / Examining Authority / Year Awarded
  1. Third-level Education

Full title of Qualification(s) e.g. Diploma, Degree etc. / Results (Type and Grade of Honours) / Subject(s) in final exam / College, University or Examining Authority / Year in which qualification was obtained
  1. Other Training / Courses

Subject / Training Body / Year Completed
  1. Career History

Present your career in reverse chronological order so that the most recent roles appear first. Ensure that you detail all relevant work experience, including details of any employment in the Civil or Public Service.

Current Position / Job Title / Organisation / Company name and address / Dates from – to
Main Responsibilities & Achievements:
Outline experience, in this position, relevant to theClerical role:
Position / Job Title
(Reason for Leaving) / Organisation / Company name and address / Dates from – to
Main Responsibilities & Achievements:
Outline experience, in this position, relevant to the role:

Continue with additional career history in the same format

  1. Additional Relevant Information including accounting for any gaps in your work history

Please identify any additional achievements which you feel may be relevant to this particular role.

Should a candidate come under consideration for appointment, the Public Appointments Service will conduct such enquiries as are deemed necessary, including reference checking. Please provide the names of 3 referees that we may consult, including your present employer (if applicable). We may also contact your previous employers. Your present employer will not be contacted until all other checks have been completed; we will notify you before we propose to do this.

Referee Name (Job Title or position) / How do you know your referee? / Organisation/Company & Address / Contact Phone Number & Email Address

I hereby declare that the information given in this form is correct and give my permission for enquiries to be made to establish such matters as age, qualifications, experience, security clearance and character. I authorise the release of such information as may be deemed necessary for that purpose by other people or organisations to the Public Appointments Service, including enquiries of past/present employers. I also permit the Public Appointments Service to forward a copy of the information contained in this form to the employing organisation should I be appointed.

Signed: ______Date: ______