EMPLOYMENT APPLICATION FORM

Post Applied For: Executive Officer, National Higher Education Programme for

Inclusion Coordinators in Early Years Settings

Closing Date: 2pm, Wednesday, 28thJune 2017

SurnameFirst NameTitle

Former surname if any

Do you require a work permit to work in an EU Country / Yes / No

Correspondence AddressHome Address

Daytime Contact No:
Other Contact No:
E-mail Address:

Please specify any special arrangements you require if called for interview,

(e.g. wheelchair access, sign language interpreter, etc.)

Do you hold a current clean driving licence? / Yes / No

SECOND LEVEL EDUCATION

LEAVING CERTIFICATE - YEAR TAKEN

IF LEAVING CERTIFICATE NOT TAKEN PLEASE STATE TITLE OF EQUIVALENT QUALIFICATION OBTAINED:

______

EXAMINATION RESULTS

SUBJECT / GRADE / HIGHER / LOWER / OTHER / SCHOOL ATTENDED

THIRD LEVEL EDUCATION

Academic, Professional or technical Qualifications– give details in date order starting with earliest qualification

Dates / Name of College / Course Taken (including Course Level on National Framework of Qualifications) / Title of Qualification Obtained Cert.,
Diploma, Degree, etc / Name of Conferring Body
FromTo / To

ADDITIONAL COURSES/TRAINING UNDERTAKEN

Dates / Name of College/ Course Provider / Course Title / Title of qualification obtained (if any) / Name of Conferring Body
From / To

COURSES/TRAINING CURRENTLY BEING UNDERTAKEN

EMPLOYMENT RECORD

Please note all positions held following fulltime education. Start with your current position and work backwards. If necessary, attach a separate A4 sheet. Explain any gaps in employment.
From / To / Period in
months / POST TITLE:
EMPLOYER: (Enter name & Address)
BRIEF DESCRIPTION OF DUTIES & RESPONSIBILTIES:
REASON FOR LEAVING:
From / To / Period in
months / POST TITLE:
EMPLOYER: (Enter name & Address)
BRIEF DESCRIPTION OF DUTIES & RESPONSIBILTIES:
REASON FOR LEAVING:
From / To / Period in
months / POST TITLE:
EMPLOYER: (Enter name & Address)
BRIEF DESCRIPTION OF DUTIES & RESPONSIBILTIES:
REASON FOR LEAVING:
From / To / Period in
months / POST TITLE:
EMPLOYER: (Enter name & Address)
BRIEF DESCRIPTION OF DUTIES & RESPONSIBILTIES:
REASON FOR LEAVING:
From / To / Period in
months / POST TITLE:
EMPLOYER: (Enter name & Address)
BRIEF DESCRIPTION OF DUTIES & RESPONSIBILTIES:
REASON FOR LEAVING:
From / To / Period in
months / POST TITLE:
EMPLOYER: (Enter name & Address)
BRIEF DESCRIPTION OF DUTIES & RESPONSIBILTIES:
REASON FOR LEAVING:

SECTION (iv) CANDIDATE CRITERIA

Please detail your experience, skills, knowledge and any training undertaken under the following criteria. Try to be as concise as possible without omitting any important information

(1) Evidence of administrative experience preferably in an educational setting:
(2) Evidence of experience supervising staff:
(3) Evidence of excellent interpersonal and communication skillsand capacity to deal with confidential information in a discreet manner:
(4) Evidence of proven organisational and administrative skills with the ability to prioritise, manage and complete a variety of tasks in periods of high pressure:
(5) Evidence of proven office skills including excellent typing ability, minute taking and report writing:
(6) Evidence of excellent data management and IT skills:
(7) Evidence of capacity to work on own initiative and as part of an established team:
(8) Evidence of capacity to manage budgetary / financial / logistical data:
(9) Evidence of previous experience supporting students and programmes in a third level environment:

ADDITIONAL INFORMATION

Please give details of any achievements; interest or other additional information, which you feel, may support your application.

______

Where did you learn of this vacancy?

Notice period to current employer? ______

REFERENCES

PLEASE NOTE THAT WHERE SHORTLISTING OF APPLICATIONS TAKES PLACE, IT WILL BE BASED ON THE INFORMATION GIVEN, BY YOU, IN THIS APPLICATION.

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