Tralee, Co. Kerry Tel. 066- 714 5613 Fax 066- 714 5648

PLEASE COMPLETE These Details at the top of each page

Surname

/ First Given Names /

Position

/ Careers Officer
/ Institiúid Teicneolaíochta Trá Lí
INSTITUTE OF TECHNOLOGYTRALEE

Tralee, Co. Kerry Tel. 066- 714 5613 Fax 066- 714 5648

Email: humanresources@.ittralee.ie Website:

PLEASE READ CAREFULLY THE INSTRUCTIONS GIVEN BELOW

PLEASE

Complete allsections of this form carefully, in black ink or typeface
Do not leave any section of this formblank
Do not submit a CVin lieu of a completed application form
Do not refer to a CV for critical information on qualifications or experience

Ensure all academic qualifications are accurately and clearly stated i.e. Leaving Certificate Grades and Results, Degree Levels i.e. Honours Level 2:1, 2:2 etc, GPA Score, and note that any misstatement will result in disqualification.

Additional CV material may be submitted. Such additional material may or may not, at the discretion of the Director, be submitted to the Selection Board.

Return completed form to:

Human Resources Office, Institute of Technology Tralee, Co Kerry, Ireland

to arrive not later than

12.00 noon on Friday 28thNovember 2008

NOTE: Applications received after the closing date will not be accepted

Applications are considered under regulations made by the Minister for Education under
Section II(1) of the Regional Technical Colleges Act 1992. Screening and shortlisting will take place on the basis of information presented on this application form only.

1.

/ APPLICATIONFOR THE POST OF: /

Careers Officer (maternity leave cover)

1.2

/ SURNAME: /

GIVEN NAMES:

BLOCK CAPITALS PLEASE

FULL NAME PLEASE

1.3 ADDRESS:

1.4 /

CONTACT INFORMATION

TELEPHONENUMBERS

( )

MOBILE

(DAY)

Area Code Tel No

(EVENING)

( )

FAX NUMBER

Area Code Tel No

EMAIL ADDRESS

SECOND LEVEL EDUCATION

SCHOOL NAME

FROM:

TO:

ADDRESS
LEAVING CERTIFICATE EXAMINATION: / YES / NO / OTHER
If other please specify
SUBJECT / LEVELH/L* / GRADE/MARK / Office Use Only
* H: Higher LevelL: Lower Level (if other please specify)
3. /

THIRD LEVEL QUALIFICATIONS – (HETAC/NCEA, PROFESSIONAL OR UNIVERSITY ACCREDITED ETC) – (use additional sheet if necessary)

3.1 / NAME OF THIRD LEVEL INSTITUTION ATTENDED:
ADDRESS:
STUDIED FROM: / STUDIED TO:
TITLE / GRADE / AWARDED BY / CONFERRED
MONTH/YEAR
FINAL YEAR SUBJECTS:
3.2 / NAME OF THIRD LEVEL INSTITUTION ATTENDED:
ADDRESS:
STUDIED FROM: / STUDIED TO:
TITLE / GRADE / AWARDED BY / CONFERRED
MONTH/YEAR
FINAL YEAR SUBJECTS:
4 / LIST COURSES/SEMINARS ATTENDED WITH DATES, DURATION AND EFFECTIVENES
5 / PLEASE OUTLINE IN DETAIL YOU EXPERIENCE/FAMILIARITY WITH COMPUTER PACKAGES/SYSTEMS/APPLICATIONS

/ Employment :Please state in reverse chronological order employments held by you.As the information given in this section is used for screening / shortlisting pleasegive full details of your past employments, leaving no gaps. If currently, or in the past you were not in employment, please state so. Do not refer to a CV. If there is insufficient space on this page, please give further details on a continuation sheet, using the same format.

6.1

/ EMPLOYMENTS Please give employments in reverse chronological order and state month and year
NAME & ADDRESS OF EMPLOYER:
POSITION HELD: / SALARY:(PA)
Total Number of Months
FROM (Month & Year) / TO (Month & Year)
BRIEF DESCRIPTION OF DUTIES:
REASON(S) FOR LEAVING

6.2

/ EMPLOYMENTS
NAME & ADDRESS OF EMPLOYER:
POSITION HELD: / SALARY:(PA)
Total Number of Months
FROM (Month & Year) / TO (Month & Year)
BRIEF DESCRIPTION OF DUTIES:
REASON(S) FOR LEAVING

6.3

/ EMPLOYMENTS
NAME & ADDRESS OF EMPLOYER:
POSITION HELD: / SALARY:(PA)
Total Number of Months
FROM (Month & Year) / TO (Month & Year)
BRIEF DESCRIPTION OF DUTIES:
REASON(S) FOR LEAVING

6.4

/ EMPLOYMENTS
NAME & ADDRESS OF EMPLOYER:
POSITION HELD: / SALARY:(PA)
Total Number of Months
FROM (Month & Year) / TO (Month & Year)
BRIEF DESCRIPTION OF DUTIES:
REASON(S) FOR LEAVING

6.5

/ EMPLOYMENTS
NAME & ADDRESS OF EMPLOYER:
POSITION HELD: / SALARY:(PA)
Total Number of Months
FROM (Month & Year) / TO (Month & Year)
BRIEF DESCRIPTION OF DUTIES:
REASON(S) FOR LEAVING

/ Additional information
please give any other details which you feel are relevant to this application

Hobbies, Leisure interests

9 / REFEREES:

(Please note that three referees must be given)

9.1 / MUST BE FROM CURRENT EMPLOYMENT
9.1 / NAME OF REFEREE: / PERMISSION TO CONTACT / YES / NO
BUSINESS ADDRESS:
TELEPHONE NUMBER:
POSITION HELD IN ORGANISATION:
9.2 / MUST BE FROM EMPLOYMENT OTHE R THAN CURRENT EMPLOYMENT
NAME OF REFEREE: / PERMISSION TO CONTACT / YES / NO
BUSINESS ADDRESS:
TELEPHONE NUMBER:
POSITION HELD IN ORGANISATION:
9.3 / OTHER REFEREE
9.3 / NAME OF REFEREE: / PERMISSION TO CONTACT / YES / NO
BUSINESS ADDRESS:
TELEPHONE NUMBER:
POSITION HELD IN ORGANISATION:

10.

/ DECLARATION
Any applicant who canvasses or seeks to canvass (by himself / herself or through a third party) any member of the Selection Board in support of his/her candidature shall be disqualified by the Selection Board. Thus I fully recognise that canvassing will disqualify my application.
I hereby certify that all statements given by me in this application form or in correspondence or interview are true and correct and without omission. I accept that any mis-statement or material omission from this form will disqualify my application and invalidate any offer of employment.
SIGNATURE OF APPLICANT / DATE
Where did you learn of this vacancy? / Examiner / Kerry’s Eye / ITT Webpage / Other

If other please state:

NOTE: CLOSING DATE FOR RECEIPT OF COMPLETED APPLICATION FORMS IS 12.00 NOON ON FRIDAY 28th NOVEMBER 2008. APPLICATIONS RECEIVED AFTER THE CLOSING DATE WILL NOT BE ACCEPTED.