KILKENNY COUNTY COUNCIL

- APPLICATION FORM -

The filling of these posts will be subject to approval from the

Department of Housing, Planning, Community & Local Government.

1.COMPETITION:LIFEGUARD SUMMER SEASON 2017

REFERENCE NO.:2017/T/O/O/008

2.CONTRACT

Temporary Specific Purpose Contract

3.COMPLETED FORMS:

The Application Form should be fully completed without alterations and returned to:

HUMAN RESOURCES SECTION,

Kilkenny County Council, County Hall, John Street, Kilkenny.

Please note that you must submit FOUR copies of completed Application Form together with supporting documentation.

4.CLOSING DATE:5.00 P.M. FRIDAY, 3RDMARCH, 2017

SECTION ONE:PERSONAL DETAILS

1.1Name in Full [Block letters]______

1.2Postal Address[Block letters]______

Notify any change at once______

in writing

______

______

1.3Tel. Nos.:______

[Home][Mobile]

1.4Email Address______

1.5Driving licence (for most positions this is not an essential requirement)

Do you possess a full-unendorsed driving licenceYesNo

1.6Date of Birthdd / mm / yy

[Applicants must be at least 17 years of age on the 31st May, 2017]

Please submit a copy of Birth Certificate with Application

1.7Are you in good health and free from any physical defect?______

If not, please give brief details ______

______

1.8Is your colour vision normal? ______

If not, please give details of any defect ______

______

1.9Is your eyesight normal without contact lenses or glasses? ______

If not, state form of correction used ______

______

SECTION TWO:EDUCATION

Please list all information in following questions in descending chronological order:

2.1School /College Attended

DATES / SCHOOL/COLLEGE ATTENDED / EXAMINATION / YEAR TAKEN
FROM / TO

2.2Academic, Professional or other Technical Qualifications (if any)

DATES / BY WHAT BODY QUALIFICATION WAS CONFERRED / DEGREE OR OTHER QUALIFICATION / MAJOR SUBJECTS TAKEN IN FINAL EXAM / YEAR TAKEN
FROM / TO

2.3Training courses undertaken (either in-house or privately):

DATES / ORGANISATION / COURSE TITLE
FROM / TO

SECTION THREE:EMPLOYMENT DETAILS

3.1PRESENT POSITION

FROM [Date]:______TITLE:______

EMPLOYER:______

ADDRESS:______

______

______

MAIN RESPONSIBILITIES [in bullet point format]:

______

______

______

______

______

______

Give below, in date order, full particulars of all employment or experience. It is not sufficient to refer to a previous application or attached CV.

NO. OF MONTHS / FROM / TO / TITLE OF POST
Please indicate whether post is Permanent/Temporary/Acting] / MAIN DUTIES / NAME & ADDRESS OF EMPLOYER

SHORTLISTING

The Local Authority may decide, by reason of the number of persons seeking admission to the competition to carry out a short-listing procedure. The number of persons to be invited to interview shall be determined by the Local Authority. Shortlisting will be based on Qualifications, Relevant Experience, information submitted on the Application Form or interview or both

SHORTLISTING QUESTION

Those who are employed will be expected to:

  • actively monitor, observe, supervise and control members of the public in their lifeguard patrol area.
  • work irregular hours including work at weekends and particularly over holiday weekends.
  • undertake duties as listed in attached Qualifications document.

Please state why you should be selected for this work

______

______

______

______

______

______

SECTION FOUR:SUPPORTING INFORMATION

4.1Do you have any objection to Kilkenny County Council contacting your past/or present employers?

YesNo

4.2Are you legally authorised to work in the Republic of Ireland?YesNo

4.3Have you ever been convicted of a criminal offence?YesNo

If so, please give details

______

4.4Please give below the name and address of your present or most recent employer, or a responsible person, to whom you are not related, whom we can contact for a reference.

Name:______Name:______

Occupation:______Occupation:______

Address:______Address:______

______

______

Tel No:______Tel No:______

Before signing this form, please ensure that you have replied fully to the questions asked.

You should also satisfy yourself that you are eligible under the regulations. The Council cannot undertake to investigate the eligibility of candidates in advance of the interview/examination, and hence persons who are ineligible, but nevertheless, enter, may thus put themselves to unnecessary expense.

Kilkenny County Council will not be responsible for any expenses which may be incurred by the candidate in attendance for interview.

For the purposes of satisfying the requirement as to health it will be necessary for each successful candidate, before he/she is appointed, to undergo a medical examination by a qualified medical practitioner to be nominated by the local authority. If after undergoing the medical you do not take up the post the cost of the medical must be refunded to the Council.

I, THE UNDERSIGNED, HEREBY DECLARE, ALL THE FOREGOING PARTICULARS TO BE TRUE

SIGNATURE OF APPLICANT ______

DATE:______

KILKENNY COUNTY COUNCIL IS AN EQUAL OPPORTUNITIES EMPLOYER

The information supplied in this form is held on the understanding of confidence subject to the requirements of the Freedom of Information Act 1997 or other legal requirements.

NB:MISREPRESENTATION OF, OR FAILURE TO DECLARE, ANY MATERIAL FACT WILL INVALIDATE YOUR APPLICATION AND ANY JOB OFFER MADE AS A RESULT OF SAME.

Applications received after the closing date and time specified in the advertisement relating to this position will not be accepted.