ROSCOMMON SPORTS PARTNERSHIP LTD.

Application form for:Maternity Cover of Administrator/Sports Development Officer

SECTION 1. – PERSONAL DETAILS.

Name: ______

Address: ______Current Photo.

Mobile Number:______

Email Address: ______

Have you ever been convicted, in an Irish, EU or in any other jurisdiction of any Criminal Offence?

______

Is there any criminal case pending against you in this or any other country?

______

Are you in receipt of a Garda Clearance Certificate to work with children/young people?

______

Are there any matters issues that would prevent you from commencing this employment if you were offered this post e.g. Notice to current employer, pre-booked holidays?

______

Do you have a current full valid Driving Licence?

______

SECTION 2: QUALIFICATIONS AND EXPERIENCE

Use a separate sheet if necessary.

(A) Professional Qualifications Received:

Title / Where obtained / Date of Qualification

(b) Other Qualifications Obtained

Title / Awarding Authority / Date of Qualification

(c) Work Experience: Paid employment only

Dates of employment / Position Held / Duties of post / Employer

(d) Work Experience: Voluntary or unpaid work only.

Dates of employment / Position Held / Duties of post / Employer

Hobbies and Leisure activities:

______

SECTION 3 – COMPETENCE AND SUITABILITY.

What experience(s) have you obtained to show that you have the competencies to perform the duties?

Briefly give your views on how sport and physical activities can be further developed in County Roscommon

Please list two (2) people who are willing to act as a character reference for you:

(1)______

(2)______

Any other information you wish to bring to the attention of the Selection Committee:

SECTION 4: CHECKLIST AND DECLARATION:

Candidates are requested to ensure that they enclose with their application the following documentation:

Current Photograph x 1: Yes: ______No: ______

Copy of Driving Licence: Yes: ____ No: ______

Copies of Professional Educational qualifications: Yes: ____ No: ______

Copies of Other qualifications Obtained: Yes _____ No: ______

APPLICANT’S DECLARATION:

I confirm that the information on this application is true and correct to the best of my knowledge. I agree and permit Roscommon Sports Partnership to make any enquiries they deem necessary in relation to my application from any source.

Signature of Applicant: ______

Date: ______