All information provided in this form is confidential to the Selection Board

(This form should be typed or completed using block capitals in black ink)

POST OF TEACHER - APPLICATION FORM

School:______

Roll Number of School:______

Position being applied for:______

(If completing this form by hand, please use a ballpoint pen or black ink)

Applicant’s Name

Completed and Signed Application Forms should be returned by post or by hand to:

The Chairperson
XXXX National School
XXXX Street
XXXX Street
XXXX County

to arrive by 5.30 p.m. on XXXX Date.

DO NOT send a Curriculum Vitae with this form. This may be requested later in the recruitment process.

DO NOT enclose any certificates with this form. The successful candidate may be required to supply original documents in relation to Teaching/other Qualifications to the Board of Management prior to appointment.

For Official Use Only
Received:
Date:
Time:

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All information provided in this form is confidential to the Selection Board

(This form should be typed or completed using block capitals in black ink)

PERSONAL DETAILS:

1. Name
Home
Address / Home Tel. No.
Mobile Phone No.
E-Mail Address
PPS No.
Teaching Council No.
2. / Educational Qualifications – most recent first (Include under graduate and post-graduate qualifications. A successful applicant may be requested to furnish supporting documentation
Qualification / College / Length of course / Year of Award

**Religious qualification if applicable:

College/s / Qualification and year / Modules studied
3. / Other relevant, non-accredited courses – most recent first:
4. / Teaching experience - most recent first.* If newly qualified see below
School Name / Address / Position held / Date from / Date to

*If newly qualified please insert teaching practice grades

School Name / Address / Class taught / Date / Grade

5. Post/s of responsibility – most recent first

School Name / Address / Position held / Date from / Date to
6. / Other employment experience - most recent first.
Position / Employer/Project / Duties / Date from / Date to
7. / Areas of special interest – curricular /other
Area / Expertise/Experience

8 Please indicate how you can contribute to the ethos of this particular school.

9 Additional information (not already mentioned) in support of your application

10. / Please give the names of two referees:
(1) Name / (2) Name
Address / Address
Phone
Number(s)* / Work: / Phone
Number(s)* / Work:
Home: / Home:
Mobile: / Mobile:
* As it is probable that referees will have to be contacted outside of school times, it is crucial that phone numbers at which referees can be contacted (three if possible) are given.
11. / Signature of Applicant / Date

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