PROFESSIONAL DEVELOPMENT SERVICE FOR TEACHERS (PDST)

Application Form for the Role of Associate

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Name of Applicant

Notes for Applicants

1.  Completed application forms should be submitted in electronic format by 5pm on Wednesday 11th October to

  1. Late or incomplete applications will not be accepted.
  1. Receipt of completed application forms will be acknowledged.
  1. If you have a disability which requires reasonable adjustments at the selection interview, or which needs to be taken into account when considering your application, please let us know.

Dublin West Education Centre is an equal opportunities employer.

For Office Use Only
Date Received
Application Number

1.  (a) Please indicate the area(s) for which you are applying to work as a PDST Associate.

Ag. Science
Applied Maths
Art
Biology
Physics
Economics
Geography
History
Home Economics
JCSP
LCA (all subjects)
Leadership – Primary and Post Primary (practicing Principals and Deputy Principals eligible only )
Music
PE – Post Primary
Primary Literacy and Team Teaching (Learning Support experience desirable)
Religion – including Leaving Cert level
Senior Cycle English
T4 subjects

1. (b) Please identify the region(s)in which you are willing to workfor the options selected in 1. (a) in order of preference with 1 being the most preferred location, 2 being the second preference etc. It is not necessary to identify all regions, only those in which you are willing to work.

REGIONS
1 / Cavan, Monaghan, Louth, Meath & North Dublin
2 / South Dublin, Kildare, North Wicklow
3 / Wexford, Waterford, Carlow, Kilkenny, South Wicklow & South East Tipperary
4 / Cork, Kerry, Limerick & North West Tipperary
5 / Clare, Galway, Laois, Offaly, Westmeath, South Roscommon & North East Tipperary
6 / Mayo, Sligo, North Roscommon, Leitrim, Donegal & Longford

2.  Personal Details

Name
Address
Teaching Council No.
Education Sector (per Teaching Council Registration)
Telephone Numbers / Home / Mobile
E-Mail
Driving Licence (please tick) / Full Licence / Provisional Licence

3.  Current Employment Status

3A Employer/School Details

Employer / School Name
Address
School Roll Number
Telephone Number
Position (Principal, Deputy Principal, Learning Support Teacher, Subject Teacher etc)
Category (Primary, Post Primary, Special School, Third Level)
Employment Status
If Special Duty / Post-holder, please specify duties
If retired, please specify date of retirement. Retired applicants must be less than two years retired on 1 September 2017.

4.  Competency in Irish – please indicate by ticking a box, as appropriate

Very Good / Good / Fair / Poor

5.  Qualifications, including post-graduate

Year(s) / Title / Major Subject(s) / Awarding Body / Grade Obtained / NFQ Level

6.  Employment Experience

6A Teaching and School Experience

Role / School Name(s) / From - To
Class/Subject Teacher
Learning Support /Resource Teacher
Special Educational Needs Teacher
Deputy Principal
Principal
Other (please specify)

6B Post-primary subjects taught if applicable

Subject / Level / From - To

7.  Association with professional groups/teacher networks

Professional Group/ Teacher Network / Brief Details of Role / Years

Please respond to the following questions in no more than 250 words per question

8.  Outline how your Leadership and Management skills in the areas listed below were applied in the context of past and current employments. Please state also how these skills may be applied to the role of PDST Associate.

9.Briefly outline how you employ innovative learning and teaching approaches in your classroom with specific reference to the area/s for which you are applying. Please state also how these skills may be applied in the role of PDST Associate

10.ICT Skills: Outline your level of competence in ICT and how your skills were applied in the context of past and current employments

11.Provide details of your experience and main achievements in the organisation, design and/or delivery of continuing professional development (CPD).

12.References – please provide details of two people from whom references may be obtained.

Contact Details – Referee 1

Referee’s Name
Position
Address
Telephone Numbers
E-Mail

Contact Details – Referee 2

Referee’s Name
Position
Address
Telephone Numbers
E-Mail

PDST / DWEC reserve the right to seek additional or alternative referees if deemed appropriate.

I hereby certify that all information provided on this application form is true and correct:

Signature of Applicant
Date