/ For official use only

Clerical Officer – (Permanent) Open Competition

Closing Date: Monday, 22 August 2016

Section A – Personal Details.
TITLE: / FIRST NAME: / SURNAME:
*ADDRESS – For Correspondence Purposes
CONTACT DETAILS:
Work Phone / Extn Number
Home Phone / Mobile Number
Email Address
E-mail address (if different from above)

Section B – Relevant Educational Qualifications & Training.

First Name: / Surname::

You must ensure that all sections of this application form are completed in full. This section of the form will be photocopied for the use of the Interview Board.

In the event of a short-listing exercise being employed an expert board will examine the application forms and assess them against pre-determined criteria based on the requirements of the position. It is therefore in your own interest to provide a detailed and accurate account of your qualifications/experience on the application form.

  1. PROFESSIONAL QUALIFICATIONS:

Date obtained and Full title of Degree(s)/ Qualifications etc held / Grade obtained (e.g. 1, 2.1, 2.2, Pass, etc.) / Subject(s) taken in final examination / University, College or Examining Authority / Full address at which you resided
Year obtained:
Year obtained:
Year obtained:

Section C – Employment Record.

First Name: / Surname:

Give below, in date order (starting with your current employer), full particulars of all employment (including any periods of unemployment) between the date of leaving school or college and the present date. No period between these dates should be unaccounted for. If it is necessary to continue on a separate sheet, please set the information out in the same manner as below.

** P- Permanent, T -Temporary Contract , A - Acting in post.

Where the grade status is not clearly given it will be assumed that the post held is a temporary one.

Dates / Title of post held,
short description of duties, salary, etc. / **P
T
A / Name and address of employer, contractor, sub contractor / Address at which you resided during all periods of employment, self-employment or unemployment
Period in months / From / To
Reason for leaving:
Reason for leaving:
Reason for leaving:
Reason for leaving:
Reason for leaving:

Section D – Details of Relevant Experience.

First Name: / Surname:
Please outline below any relevant information in support of your application.
Relevant Information cont:

Remember you may be shortlisted based on the information you supply in the application form.

Anything you write may be discussed in more depth, should you be called to interview.

Incentivised Scheme of Early Retirement – ISER (EL 05/09) – &

Voluntary Redundancy Scheme – VRS (LG(P) 06/2013)

Please advise if you have availed of:

□Incentivised Scheme of Early Retirement – ISER (EL 05/09)

□Voluntary Redundancy Scheme – VRS (LG(P) 06/2013)

If so, please provide details of same, particularly where previously employed and date of retirement:

Note: depending on the conditions of the scheme availed of, re-employment/re-engagement to the Public Service may be precluded and/or abatement may apply. Please refer to relevant circular for further details.

Irish Language Assessment – Optional

Please indicate by ticking the appropriate box,whether or not you wish to be called for an Irish Language Assessment. A panel of candidates competent to deliver services through the medium of Irish will be formed. Please refer to the Information Booklet for further details.

□Ba mhaith liom freastal ar scrúdú Gaeilge

□Níor mhaith liom freastal ar scrúdú Gaeilge – (I do not wish to be called for Irish Language Assessment)

First Name: / Surname:

Please provide the names of two responsible persons as referees to whom you are well know but NOTrelated. (If you are currently employed, one of the referees should be a present employer).

REFEREE NO. 1 / REFEREE NO. 2
NAME & ADDRESS / NAME & ADDRESS

(Before emailing this Form please ensure that you have replied fully to all questions.)

I, the applicant, in submitting this application, hereby declare all the foregoing particulars to be true. I also authorise Donegal County Council to conduct reference/qualification/gardavetting checks as required. Appointments subject to same.

Name: ______Date: ______

NOTES

Application and Closing date.

This Application Form, when completed, should be returned by email .

Note: Please include ‘Permanent Clerical Officer Competition’ as a reference in the subject line before e-mailing application.

Closing date for submission of applications is outlined on front page of this application form.

Proof of receipt of application.

Electronic applications will be acknowledged automatically. Please keep this acknowledgement as proof of delivery and receipt of your application. If you do not receive an acknowledgement within 3 working days, please contact the HR Department immediatelyat 074 91 72264/560. The onus is on candidates to ensure proper delivery and receipt of application. No late applications will be accepted.

Note: 3 copies of applications to be submitted by post to: Human Resources, Donegal County. Council.,

3 Rivers Centre, Lifford, Co. Donegal to be received no later than the closing date.

Queries.

Phone queries can be made to Human Resources Section, Donegal County Council, Three Rivers Centre, Lifford, Co. Donegal on 074 9172264/560.

Other.

Before you return the form to Donegal County Council please ensure that you have completed all sections, and that you have signed the declaration above. The onus is on candidates to establish eligibility in this application form.

Canvassing by or on behalf of the applicant will automatically disqualify.

Please do not submit a CV with this application.

Candidates may be short-listed on the basis of information supplied on this Application Form