Please return to:The Human Resources Manager, Limerick Institute of Technology,

MoylishPark, Limerick.

Telephone: - (061) 293281

E-mail:

APPLICATION FORM:
RESEARCH ENGINEER
(FRONT-END DEVELOPER)
(SELF-FINANCED POST UP TO JANUARY 2020)(LOCATION:LIMERICK)
1.DECLARATION

In applying for this post, I declare that the particulars given on this form and any supplementary information are complete and correct.

Signature: ______Date: ______

Print Name: ______

All sections must be answered. Where appropriate, please put ‘not applicable’.Completed application forms should be returned by 12.00 noon on Friday3rd August 2018 to the HR Manager, Limerick Institute of Technology, Moylish Park, Limerick. Forms will be accepted by e-mail (). Should you wish to submit a copy of your curriculum vitae, this will also be accepted and should be sent with the application form. Late applications will not be accepted.

Closing Date: No later than 12.00 noon on Friday 3rdAugust 2018

2.PERSONAL DETAILS:
SURNAME / FORENAME(S) in full / TITLE (Dr., Mr., Ms., etc)
PERMANENT ADDRESS / ADDRESS FOR CORRESPONDENCE
(if different) / EMAIL ADDRESS
CONTACT TELEPHONE NUMBER / MOBILE NUMBER / NATIONALITY
Is there any restriction on your right to work in Ireland e.g. will the Institute be required to seek a work permit on your behalf (please tick)
If yes, please give details: / YES / NO
3.ACADEMIC HISTORY
Higher Education:
Dates / College(s) Attended
Give Name and Town / Name of PROGRAMME / Full-Time or Part-Time / AWARD LEVEL / Grade
(Pass or Hons. and Level e.g.
1, 2.1, 2.2) / Date of ……
From / To / Final Exam/
Assessment
dd/mm/yyyy / Conferring
dd/mm/yyyy
4.PROFESSIONAL BODY MEMBERSHIPS/CONTINUED PROFESSIONAL DEVELOPMENT
List here your memberships of professional and/or learned bodies and any further relevant training completed.
Official name of body and/or awarding body / Grade of membership and/or training course / Dates of membership / course
From / To

5.PROFESSIONAL EXPERIENCE

Record of previous work experience. Use additional pages if necessary.

Current / Previous employment

DATE / Employer’s Name and Address / Position/Grade Held
(State if full-time or
part-time) / Give a brief outline of your key responsibilities (Please use additional sheets if necessary)
From / To

Notice Period required: ______

6.RESEARCH

Please provide details of your research field, including major international collaborations. Also list any publications.

7. MOTIVATION/TRACK RECORD OF ACHIEVEMENT

Please provide here the reason(s) you have applied for this position. Please provide a brief outline of what you consider to be your key achievement(s) to date.

8.WHY DO YOU THINK YOU ARE SUITED TO THIS POSITION

9.CRIMINAL RECORD/CONVICTIONS/CRIMINAL PROCEEDINGS PENDING

Applicants must declare if they have a criminal record/convictions or any criminal proceedings pending. Failure to declare any such convictions or criminal proceedings pending will result in your application being declined and not considered any further in the application process or if disclosed after appointment the appointment will be immediately terminated.

(a)Have you ever been convicted of a criminal offence? Yes / No 

If you have been convicted of a criminal offence, please give details.

______

______

(b)Have you any criminal proceedings pending? Yes / No 

If you have any criminal proceedings pending, please give details.

______

______

10.OTHER INFORMATION

Please provide here any other information which you consider relevant to your application.

11. REFEREES

Please give the names and addresses of three persons not related to you, one of whom should be your present employer, who know your qualifications and experience and can also provide a character reference.

YOUR PRESENT EMPLOYER WILL NOT BE CONTACTED WITHOUT YOUR PRIOR PERMISSION

Name / Address & Phone Number / Position/Title & Email Address
Present Employer: / Address:

Phone Number: / Position/Job Title:
Email Address:
Address:

Phone Number: / Position/Job Title:
Email Address:
Address:

Phone Number: / Position/Job Title:
Email Address:

Information which is found to be incorrect could invalidate any subsequent offer of employment.All personal data provided in this application will be handled in accordance with the LIT Data Protection Policy and Privacy Statements available at

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