Donegal County Childcare Committee Ltd

CoisteCúramPáistíChontaeDhúnnanGallTeo

10-11 St Columba’s Terrace, High Road Letterkenny, Co Donegal

074-9123442

Application Form

NOTES: Important, please take care to read in full:

  1. Canvassing will disqualify applications.
  2. Job applications will only be accepted on our application form. Additional information may be appended to this application form by way of separate cross-referenced pages. Applications will be treated in confidence.
  3. If you have a disability and this precludes you from completing this application form and/or submitting it by the closing date, please contact the HR person for alternative arrangements and/or reasonable adjustments.
  4. Care should be taken to provide full and accurate information, as the information on application forms will be used to shortlist candidates for interview. Any mis-statement given may disqualify your application or may result in dismissal if subsequently employed by DCCC.
  5. The completed application form should be returned by either post or e-mail to the address specified on the advertisement not later than the date and time specified in the advertisement for the post. Late or incomplete applications will not be considered.

Position applied for: (Job Title)
NB The title of post applied for must be entered.
First Name:
Surname:
Address:
Mobile Tel No:
Other Daytime Tel No:
E-Mail Address:
Previous applications, if any:
Post
Year
Were you interviewed Yes/No?
Were you successful Yes/No?

Third Level Education (Other than that specified under Adult & Further Educ below):

Examining Body / Name of Degree / Pass/ Hons / Class / Year of Award

Adult & Further Education:

Name of School/College/ Centre attended / Examining
Body / Examination/
Modules / Award
Pass/Merit/
Distinction / Duration of Course / Year of
Award

Second Level Education:

Title of Qualification:______Year:______

Subject / Hons / Pass / Grade / Subject / Hons / Pass / Grade

Level of IT & Other Skills:

Rate your level of IT & other skills below on a scale of 1-5. 1 being a novice user and 5 being very competent:

Rating / Give a short description of your capabilities for each :
Word processing (eg MS Word)
E-mail & Mail Merge
File management
Spreadsheets (eg MS Excel)
Databases (eg MS Access)
Presentations (eg PowerPoint)
Publications (eg MS Publisher)
Social Media (eg Facebook or Twitter)
Data analysis & creation of diagrams, charts or tables
Report Writing

Current Employment:

Employer’s name or title
Employer’s address
Nature of business
Employment date
Position held
Description of duties and responsibilities

Preceding Employment:

Employer’s name or title
Employer’s address
Nature of business
Employment dates
Position held
Description duties and responsibilities
Reason for leaving
Prior Employments:
Employer / From / To / Position / Reason for leaving

Give details of your relevant experience and how this meets the essential and desirable criteria:

Additional Information:

Include any other information that you think is relevant to your application. Leisure time interests may be included here.

Outline your reason(s) for seeking this position:

Disability

Please specify if you have a disability which requires any adjustments to be made in order for you to participate at interview, and/or to perform the duties of the post applied for. Please provide details of any adjustments required.

Other Information

How soon after an offer of appointment would you be able to take up employment?
Where did you see the position advertised?

Restrictions on Employment

Are there any restrictions to you working in Ireland/ EU? ______State yes or no

If yes, please provide details and include expiry date of any visas or work permits.

References:

You must list 2 persons from whom DCCC may request references. One must be your current employer, if employed, or your most recent employer, if currently unemployed. The other may be a character referee. Neither referee should be related to you. It is not our general policy to contact referees prior to an offer of employment, however should we need to do so we shall seek your permission beforehand.

First Referee / Second Referee
Name:
Job Title:
Address:
Tel No:
Mobile Tel No:

Declaration:

I hereby certify that I have read the Notes on page 1 of this application form and that all statements given by me on this application form are true, complete and correct. (I understand if it is subsequently discovered that any statement is found to be false or misleading that employment may be terminated without notice.)

I agree that should I be successful in this application I will (if required), apply for a disclosure of criminal records.

Please note, if you wish to submit your application via e-mail tick the confirmation below, otherwise please sign the declaration.

I declare that the foregoing particulars are complete and correct to the best of my knowledge and belief.

Signed:______Date: ______

DCCC Job Application Form 2017