Special Education Support Service (SESS)

Application Form for the role of Advisor

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Name of Applicant

Notes for Applications

  1. Completed application forms should be submitted in electronic format on or before 5pm on

Wednesday, May 21st 2014 to

  1. Whilst e-applications are accepted up to 5pm on Wednesday, May 21 2014, three signed hard copies must also be submitted by 5pm Thursday 22nd May 2014 to:

Aideen Fitzgerald, Administrator, Special Education Support Service, Cork Education Support Centre, The Rectory, Western Road, Cork

Tel: 021 4254241

  1. Late or incomplete applications will not be accepted.
  2. Receipt of completed application forms will be acknowledged by e-mail.
  3. 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.

Cork Education Support Centre is an equal opportunities employer.

For Office Use Only
Date Received
Application Number
  1. 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
  1. Current Employment Status

2(A) Employer/School Details

Employer / School Name
Address
Roll Number
Telephone Number
Position (Principal, Deputy Principal, Learning Support Teacher, Subject Teacher etc)
Category (Primary, Post Primary, Special School, Third Level, other)
Employment Status / In applying for the role of Advisor, please note that by signing this application form, you confirm that your current post is full-time. Only full-time post holders are eligible for secondment
If Special Duty / Post-holder, please specify duties.

2(B) Current Secondment Details, if applicable

Organisation / Support Service Name
Address
Telephone Number / Email
Position / Number of Years in this Position
Brief Description of Position and Duties undertaken:
  1. Competency in Irish – please indicate by ticking a box, as appropriate

Excellent / Very Good / Average / Very little Irish
  1. Qualifications, including post-graduate

Year(s) / Title / College / Major Subject(s)
  1. Brief description of specialist experience you may have in any area(s) of Special Educational Needs.

Area of Specialist Expertise / Relevant Experience in the area listed
:
  1. Employment Experience

6(A) School Experience

Teaching Role / School Name(s) / No. of Years
Class/Subject Teacher in Mainstream School (s)
Class teacher in Special School (s)
Learning Support/Resource Teacher
Deputy Principal
Principal
Other (please specify)

6(B) Experience of working in an education setting other than a classroom

Setting Type / Details
  1. Association with professional groups/teacher networks

Group / Brief Details of Role

Please respond to questions 8, 9 & 10 in bullet format

8. Outline how your leadership skills in the areas listed below were applied in the context of past and current employment. Please state also how these skills may be applied to the role of SESS Advisor.

Skills
Innovation
Communication
Motivation

9. Outline how your management skills in the areas listed below were applied in the context of past and current employment. Please state also how these skills may be applied to the role of SESS Advisor.

Skills
Planning
Organising
Monitoring

10. Outline how your ICT skills were applied in the context of past and current employment with particular reference to Teaching / Learning and Administration / Planning

Include relevant experience in the following areas:

- General ICT Skills

- Assistive Technology (AT)

- Web Authoring / Web-based Support

- eLearning Design

Teaching / Learning
Administration / Planning

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
Address
Telephone Numbers
E-Mail

Contact Details – Referee 2

Referee’s Name
Address
Telephone Numbers
E-Mail

SESS / CESC 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

1