Note to applicant:
- Please complete all sections even if CV is attached
- Include additional sheets if necessary
- Writing must be clear and legible, typed is preferable
- Please state n/a if any details are not applicable to you
- Please ensure that all pages are fully completed before submitting.
Position Applied For: / Post Reference No:
Are you an Internal Candidate? (please tick yes or no)
Yes:
Region:
Conference:
Date of joining the Society: / No:
Are there any Restrictions on your right to work in this Country:
YES:
NO:
If yes, please give details:
Do you have any relatives associated with the work unit you are applying for the job with or are you in a relationship with anyone associated with the work unit?
Yes: / No:
SVP is an equal opportunity employer and will consider job applications from relatives, partners and friends of current employees, volunteers, as it would with any other application. However the Society retains the right to ensure that close relatives shall not be permitted to work in a position, project or place of work, where it is deemed inappropriate, especially where one relative would directly or indirectly supervise another.
Where did you hear about this role:
SVP website:
Irish Jobs website:
Activelink website:
Newspaper:
Other: (if other please specify)
Personal Details
Title : Mr / Mrs / Miss / Ms / Other (specify): / Forename:
Surname: / Preferred Name:
Address: / Correspondence Address (if different)
Home Telephone No: / Mobile No:
Email Address:
Do you hold a valid current motor vehicle driving licence?
Yes: / No:
Type of licence: Full/Provisional/Other (specify):
Do you have regular access to a car?
Yes: / No:
Professional Experience
List below all present and past employment, beginning with your most recent/current post
Organisation Name & Address / From
(Month & Year) / To
(Month & Year) / Reason for Leaving
Position Title:
Main duties and responsibilities:
Organisation Name & Address / From
(Month & Year) / To
(Month & Year) / Reason for Leaving
Position Title:
Main duties and responsibilities:
Organisation Name & Address / From
(Month & Year) / To
(Month & Year) / Reason for Leaving
Position Title:
Main duties and responsibilities:
Company Name & Address / From
(Month & Year) / To
(Month & Year) / Position Title / Reason for Leaving
Please list below (and on additional sheets if required) all other previous employment.
Please describe any other relevant work you have been involved in e.g. voluntary work, freelance etc., and the extent of this involvement
From(Month & Year) / To
(Month & Year) / Hours per week / Description
Please account for all gaps in your employment, including any periods of unemployment
From(Month & Year) / To
(Month & Year) / Reason(s)
Education, Qualifications And Training
Give details of your education, qualifications and training to date.
Please indicate if you did not complete or pass a particular course.
Schools, colleges and universities attended / From
(Month & Year) / To
(Month & Year) / Qualification / Result
Professional Qualifications
Additional training (including employment based training)
Computer Literacy
Please give brief details of computer systems with which you are familiar, e.g. Microsoft, Word, Excel etc.
Interests
Please give details of your main non-work interests.
Health
Do you suffer from any mental or physical disability?
Yes
(Please note that a problem of this nature will not preclude full consideration of your application) / No
Is your ability to perform the particular job for which you are applying limited in any way?
If so, how can we overcome this (please detail any special requirements you may have)?
Additional Information
A set of capabilities have been identified for this position. To help us to assess your capabilities, please fill out the following section. You may extend this page as necessary.
Please explain how you consider your previous experience and knowledge meet the requirements of the job for which you have applied?
What would you see as the major differences between your current/last position and the role you are applying for?
What do you see are the immediate challenges in the role that you are applying for?
What strengths do you feel you can bring to this role?
References
Please give the name, address, telephone number and occupation of two referees, who would be in a position to assess your skills, knowledge and aptitude for this post, preferably previous employer(s).
Referees should not be related to you.
Note: an employer’s reference will be required before appointment.
References should not be submitted with this application form
Please note we will not contact referees without your prior permission.
Name: / Organisation Name: / Position Title: / Telephone No: / E-mail address:
Notice Period
If successful when would you be able to start?
What notice is required in your present position?
Salary Expectations
Please indicate your current/last salary:
Please indicate your salary expectations:
Declaration
I confirm that the information given on this form is, to the best of my knowledge, true and complete.
Any false statement may be sufficient to cause rejection or, if employed, dismissal.
Name: / Date:
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