Comhairle Chontae Longfoirt
Longford County Council
Aras an Chontae, Great Water Street, Longford.
Tel: (043) 334 3483e-mail:

APPLICATION FORM

CLERICAL OFFICER - (Grade III)
Ref: CO/0716

Please submit by 4.00 pm Tuesday, 9th August 2016.

4 Copies of Application Form must be submitted.

Responsibility for ensuring timely and correct delivery of applications rests with the applicant.

Candidates who send their applications by post should see that they are posted in sufficient time to ensure delivery not later than the latest time for acceptance.

Allegations that any application form or letter relating to it has been lost or delayed in the post will not be considered by the Local Authority unless a Post Office Certificate of Posting is produced in support of such allegations.

Completed applications should not be returned by fax.

All application forms received will be acknowledged.

Title: Mr. Ms. Please Tick (√) as appropriate

Name in Full:______

(BLOCK LETTERS)

Address for Correspondence:______

(BLOCK LETTERS)

______

______

Contact Telephone Numbers: Business.______

Home. ______

Mobile. ______

Email: ______

GENERAL EDUCATION
School or College
Attended / Period / Examination Taken (with dates) / Result
(Pass or Honours)
ACADEMIC, PROFESSIONAL OR TECHNICAL QUALIFICATIONS (if any):

·  Please attach copy of qualifications to all copies of Application Form

·  Non Irish Qualifications must be accompanied by a determination from the Quality and Qualifications Ireland (QQI) to establish their comparability against the Irish National Framework of Qualifications

·  Foreign qualifications must be accompanied by a translation document

Full Title of Qualification Awarded including Discipline e.g. B.A. B.S.c. Etc. / Year of Entry & Year Degree /Qualification Awarded
Ord. Or Hons. Level Degree
Full-Time or Part-Time course / Grade Awarded
Honours/ Pass
e.g. 2nd Class Honours / Subject(s) in Final Examination / Full name & address of University, College or Examining Authority
EMPLOYMENT RECORD
From / To / Name and Address
of Employer / Grade or Position Held. Type of Employment or Experience
(Short Description)

Details of additional work experience may be attached on a separate sheet to this application form

ACHIEVEMENTS / EXPERIENCE

Please indicate any particular achievement/experience, which you consider an Interview Board, should be aware of when assessing your application for the post of Clerical Officer with the Council.

SUPPORTING ADDITIONAL INFORMATION
MEMBERSHIP OF LOCAL AUTHORITY

Are you now, or have you been at any time an elected member of a local authority or harbour authority?

Yes □ No □

If so, give date you ceased to be such a member ______

PUBLIC SERVICE PENSION

Do you have an entitlement to any preserved pension or any preserved lump sum or any other retirement benefit or have received or are in receipt of retirement benefits under a pre-existing public service pension scheme of which you were/are a member? Yes □ No □

If so give details of same ______

VOLUNTARY REDUNDANCY

Have you ever accepted voluntary redundancy/early retirement from a local authority or any other public service organisation by which you were employed. Yes □ No □

If so, give details of same ______

DO YOU REQUIRE A WORK PERMIT/WORKING VISA? Yes □ No □

REFERENCES

Please give details of the names of two responsible persons, to whom you are well known but not related (These names should be employers from whom the Council can request a reference. These should include your current and former employer, where possible.)

NAME: ______NAME: ______
POSITION: ______POSITION: ______

ADDRESS: ______ADDRESS: ______

______

______

Before signing this Form please ensure that you have replied fully to all questions. You should also satisfy yourself that you are eligible under the qualifications. Longford County Council cannot undertake to investigate the eligibility of Candidates in advance of the interview/examination, and hence persons who are ineligible but nevertheless submit an application put themselves to unnecessary expense.

I, the undersigned, HEREBY DECLARE all the foregoing particulars to be true and give my permission for enquiries to be made to establish such matters as age, qualifications, experience and character and for the release by other people, agencies, Garda or organisations of such information as may be necessary to Longford County Council for that purpose. This may include enquiries from past/present employers and the submission of this application is taken as your consent to this.

Signed: ______Date: ______

Please give details of any specific access requirements you may need to provide appropriate accommodation in respect of your attendance for computer test and/or interview

______

Important General Information

Longford County Council reserve the right to shortlist candidates.

It should be clearly noted that canvassing on behalf of candidates will lead to their

disqualification from the competition.

Any employment offered is dependent on the information given being true.

False or misleading information or deliberate omissions may result in termination of employment.

Expenses incurred by candidates in attending interview, etc., will be at the candidates own expense.

Longford County Council is committed to providing equality of opportunity in all employment practices.

Comhairle Chontae Longfoirt
Longford County Council
Aras an Chontae, Great Water Street, Longford.
Tel: (043) 334 3483e-mail:

ACKNOWLEDGEMENT SHEET

CLERICAL OFFICER - (Grade III)

Ref: CO/0716

If you wish to receive acknowledgement of your application within 7 days of postage, please complete this acknowledgement sheet. (Do not attach this sheet to your application form).

Name: ______

(Block Capitals)

Address: ______

(Block Capitals)

______

______

CANDIDATE CHECKLIST

It is the responsibility of each candidate to ensure that their application

is submitted as laid out hereunder:

Please tick

1.  Application Form Completed (4 copies).

2.  Please submit copy of relevant qualifications & evidence from College,

staple to the back of each application form (4 copies).

3.  If you require acknowledgement of your application,

please submit 1 copy of this sheet but do not attach it to your application.

FOR HUMAN RESOURCES USE

(HR must retain a copy of this sheet with the candidates application form)

Human Resources Stamp

PLEASE NOTE
Longford County Council will acknowledge receipt of your application, if requested, within 7 days. If you do not hear from us within this time limit, please contact Human Resources Section at 043 – 3343483 or email /
FOR OFFICE USE ONLY
Acknowledgement Issued
Date …………………………
Signed ……………………….

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