Candidate’s Name: ______

This section of the application form will be used to assist in short-listing.

1(i). In relation to your professional qualification and experience please complete the following;

Indicate below the highest scientific degree you have achieved;
B.Sc.2.2, 2.1, 1st; M.Sc.(taught), M.Sc. (research), Ph. D. / Indicate below the number of years of personal research you have completed
<1Year; 1-3Years; 3-5years;>5 years / Indicate below the number of years of analytical work in a supervisory or reporting capacity that you have completed
<1Year; 1-3Years; 3-5years;>5 years

1 (ii).Please indicate below your frequency of use of the techniques listed in the grid below;

Frequency
Techniques / Daily / Weekly / Monthly / Never / Duration
(months, years etc.) / Method of reporting (verbally, written, Pro-forma, if other please specify)
GC (other than GCMS)
GCMS
IR
UV/Vis spectroscopy
HPLC
SEM
Microscopy
PCR
DNA capillary electrophoresis
Biochemical assays
Pipetting small volumes (<50ul)
Robotics
Other Techniques
Candidate’s Name: ______
2. Academic/Professional or Technical Qualifications:
Full title of Degree */
Qualification(s) held – including evidence of % of course devoted to nominated subject. / Grade obtained (e.g. Pass; 2.2; 2.1; 1; etc.) / Please give results for each subject taken in final exam. / University, College or Examining Authority / Year in which Degree/
Qualification was obtained. / Full address at which you resided.

* This information is only needed for the degree qualifying you for the position.

Details of Leaving Certificate Results in Mathematics or Equivalent (full details must be inserted)

Subject / Grade / Level / Year / School/College attended
Mathematics
Candidate’s Name: ______

3. Employment Record:

Please give below, in date order (starting with your current employer), full particulars of all employment (including any periods of unemployment) between the date of leaving school or college and the present date. No period between these dates should be unaccounted for. If it is necessary to continue on a separate sheet, please set the information out in the same manner as below (exact dates to be given).

*Full address must be given for any periods spent living in rented accommodation.

Dates / Title of Post held, description of duties, salary / Name & address of Employer / Address at which you resided
From / To
Reason for leaving:
From / To / Title of Post held, description of duties, salary / Name & address of Employer / Address at which you resided
Reason for leaving:
Candidate’s Name: ______

Employment record continued:

Dates / Title of Post held, description of duties, salary / Name & address of Employer / Address at which you resided
From / To
Reason for leaving:
From / To / Title of Post held, description of duties, salary / Name & address of Employer / Address at which you resided
Reason for leaving:
Candidate’s Name: ______

4(i) Please give a brief statement (including dates) of a particular project or scientific experiment in which you had a key role detailing the precise nature of your contribution, the challenges it offered and the experience that you feel you gained;

______

4(ii) Please give a brief statement (including dates) that demonstrates your ability to reason logically, to include evidence of mathematical and problem-solving ability. Include verifiable details where appropriate;

______

______

______

______

Candidate’s Name: ______

4(iii) Please give a brief statement on your ability to communicate clearly, persuasively and consistently both in speech and in writing; and to deal with people at all levels in an effective manner;

______

______

______

______

______

Candidate’s Name: ______
5. Please give below any other relevant information, or details of any other publications, attributes or experiences, which you consider would assist your application for the position as described:

______

______

______

______

______
SECTION C

IMPORTANT NOTES AND DECLARATION

  1. Before you return the form to the Department, please ensure that you have completed all sections of it and that you have signed the declaration below. The onus is on candidates to establish eligibility on this application form which will be used in the shortlisting/interview processes.
  2. Please do not forward any certificates or references with this form.
  3. MISSTATEMENTS OR CANVASSING WILL RENDER AN APPLICANT LIABLE TO DISQUALIFICATION.

4.THE PERSONAL DATA SUPPLIED BY YOU ON THIS APPLICATION FORM WILL BE STORED ON COMPUTER AND WILL BE USED ONLY FOR THE PURPOSES REGISTERED UNDER THE DATA PROTECTION ACT.

I hereby declare that I fulfil all the requirements, that the information given in this form is correct and give my permission for enquiries to be made to establish such matters as age, qualifications, experience and character and for the release by other people or organisations of such information as may be necessary to the Department for that purpose.

Signature of Applicant: ______

Date:______

THE DEPARTMENT OF JUSTICE, EQUALITY AND LAW REFORM IS COMMITTED TO A POLICY OF EQUAL OPPORTUNITY.

Forensic Scientist Grade III in the Department of Justice, Equality and Law Reform 1