The 3Ts

Job Application Form

Position applied for:______

Personal Details

Full Name:______

Address:______

______

______

______

Telephone:(Work)______(Home)______(Mobile)______

Email address:______

If successful when could you take up appointment? ______

EDUCATION

Type of establishment attended since the age of 12 to present / Dates attended –
To:From:
(State full or part time) / Qualifications/Accreditation etc.

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TRAINING

Please give details of any external or internal courses or training within the last years (including dates and length or course, etc.)

Membership of Professional Bodies

Name /
When granted
Membership
/ Status of
Membership

Employment / Work Experience

Please start with your present/last employer and work backwards

Dates From/To / Employer (Name and Location) / Job Title Main Duties / Salary / Reason for leaving
Dates From/To / Employer (Name and Location) / Job Title Main Duties / Salary / Reason for leaving

Are there any legal restrictions on your right to work in this country? If yes, please give details.

Please give details of any unpaid/voluntary work experience

Please give brief details of any interest, hobbies, pastimes

DRIVING ABILITY

Do you hold a full current Driving Licence?Yes/No

HEALTH

A disability or health problem will not preclude full consideration of your application. Please specify any serious or recurring illness resulting in lengthy absence from work in the last 3 years.

Any further information that you feel would assist your application.

REFERENCES

Please give details below of 2 people whom we may contact for references. At least one of the referees should have knowledge of you in a working environment, either paid of unpaid and one should be your current/last employer.

Previous surname (if necessary) for reference purposes: ______

We will not make contact with any references provided prior to any potential interview.

Name / Name
Position / Position
Address / Address
Tel No: / Tel No:

DECLARATION

I certify that all the information I have given is correct and understand that any false information given may result in any job offer being withdrawn.

Signature of Applicant______

Date______

The 3Ts is an Equal Opportunities employer.

Please return this application form and any attachments before the closing date to Lise Alford, The 3Ts, Innovation House, 3 Arkle Road, Sandyford, Dublin 18 or via email to

The 3Ts (Turn the Tide of Suicide)

3 Arkle Road, Sandyford, Dublin 18

T: (01) 2139905 E: W:

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