APPLICATION FORM

POSITION: SOCIAL WORKER (P.Q.S.W) CHILD & FAMILY SERVICES.

Name in full (BLOCK LETTERS)
Postal Address (BLOCK LETTERS)
Phone Numbers / Private:
Mobile:
Email Address

EDUCATION:-

General Education
School or College Attended / From / To / Examinations / Results
Academic and/or Professional Qualifications
Full Title Degree(s) MA /PhD. Qual(s) held / Type & Grade of Honours
(1st or 2nd Class, Gr I or II) / Subject(s) in final Exam / University,
College or
Examining
Authority / Year Degree /
Qual. Obtained

Application Form

Social Worker - Child & Family Service

TRAINING COURSES ATTENDED / COMPLETED.
Training Agency / From / To / Examinations (if applicable) / Results

Are you currently Registered with the Social Workers Registration Board CORU? Yes □ No □


If yes - Please provide Registation No: ______

Have you completed Children First Training? Yes □ Date: ______No □

If yes - Please provide details of Trainer & Date: ______

Have you completed Meitheal Training ? Yes □ Date: ______No □

If yes - Please provide details of Trainer & Date: ______

Are you working at the moment? Yes □ No □

Application Form

Social Worker –Child & Family Service

EMPLOYMENT RECORD

PRESENT POSITION
From (Date) / To
Main responsibilities and significant features (including name and address of employer, salary).
Employer:-
Address:
Position: ______
From: ______To: ______
Responsibilities: ______
Current Salary: €______
Who did you report directly to in this role? (Title)______

Application Form

Project Worker – Parent Support Service, Child & Family Service

PREVIOUS EMPLOYMENT RECORD
Give below, in date order starting with most recent, full particulars of all employment (including also any periods of college placements, unemployment or Voluntary work) between the date of leaving school or college and the date of taking up your present position. No period between these dates should be left unaccounted. If it is necessary to continue on a separate sheet, please set out the information in the same manner as below.
Candidates will be short-listed for Interview on the basis of information supplied on their applications.
From
/ To / Name & address of Employer / Title of Role & brief duties/responsibilities & reason for leaving position.
Previous Employment Record (Contd).
Give below, in date order starting with most recent, full particulars of all employment (including also any periods of college placements, unemployment or Voluntary work) between the date of leaving school or college and the date of taking up your present position. No period between these dates should be left unaccounted. If it is necessary to continue on a separate sheet, please set out the information in the same manner as below.
Candidates will be short-listed for Interview on the basis of information supplied on their applications.
From
/ To / Name & address of Employer / Title of Role & brief duties/responsibilities & reason for leaving position.

Application Form

Social Worker – Child & Family Service

REFERENCES:-
Referees (Please give details of two referees who would support your application – 1 to be your most recent employer).
Name / Name
Address / Address
Phone
& email / Phone & email
Do you give permission to contact referees / Yes □ No □

SUPPORTING INFORATION:-

Pease indicate any particular experience, innovations or achievements you consider an Interview Board should be aware of when assessing your application for this role.
INTERESTS AND VOLUNTARY ACTIVITIES Please give brief details of pastimes, hobbies, sports, and any voluntary work undertaken. Please outline any other supporting information that you consider would be relevant to your application for this particular post.
Please indicate your IT skills / experience:
If offered appointment when could you take up duty?
Driving Licence:-
a) Do you have a full clean Driving Licence? Yes □ No □
b) Have you access to a car for work? Yes □ No □
Declaration
I certify that the information given in this application is accurate and complete to the best of my knowledge.
Signed / Date:
Please note that the signing of this Application Form indicates that you have read the Job Advert & Job Description and any other information issued by the Company and that you can comply with the requirements of the post. Any false statements could result in the application being declared invalid & withdrawn

This Application Form, when completed, should be returned by email to: -

Margaret Meagher, Human Resources Manager @ before 5.00 pm on Tuesday

20th February, 2018.

Limerick Social Service Council is an equal opportunities employer. Canvassing will disqualify.

A Panel from this recruitment drive shall be formed for a period of 6 months.

This post is funded by TUSLA