APPLICATION FORM FOR TEACHING POST

2022/2023

NAME OF APPLICANT

POSITION ADVERTISED

Completed applications should be sent to: appointments@stmarysedenderry.ie You should write the tile of the job (subjects) in the subject line of the email.	This application form must be signed. Digital signature is acceptable	All questions must be answered.	Do not change the question numbers or sequence.	A letter of application is optional	No CV should accompany this form.	Use a minimum font size of 11	Use a regular font type	In line with our Data Protection Retention Schedule Policy your application will be kept on file for 12 months from close of competition.	During this time of Covid 19 emergency we cannot say when or how interviews will take place.	The recruitment process is subject to approval of the Redeployment Process. No offer of a post will be made until the redeployment panel is cleared

APPLICATION FORM FOR TEACHING POSTS 2022/2023

POSITION ADVERTISED

PERSONAL DETAILS

Name
Home Address

Email
Mobile Phone Number
Are you registered with the Teaching Council of Ireland?	Yes No	Teaching Council Registration No:
Registration Renewal Date:
Subjects Registered to Teach:
Sector Registered For:	Further Education	Post Primary	Registration Level:	Full	Conditional

Note: A candidate proposed for appointment to a teaching position will be required to be currently registered with the Teaching Council in accordance with Section 31 of the Teaching Council Act, 2001. For new graduates – Registration with the Teaching Council of Ireland and Garda Vetting will follow pending results of final exams. A photocopy of your Teaching Council Registration Certificate which states the subjects you are registered to teach should be added to the end of the application form and submitted with this application.

EDUCATION

PRIMARY DEGREE	HONOURS (specify level e.g. 1.1; 2.1)	YEAR OF AWARD
UNIVERSITY/ COLLEGE:	PASS	LENGTH OF COURSE
FINAL YEAR SUBJECTS:

TEACHER TRAINING Please circle relevant qualification	H DIP	PME	PDGE	HONOURS (specify level e.g. 1.1; 2.1)	YEAR OF AWARD
UNIVERSITY/ COLLEGE:	PASS	LENGTH OF COURSE
Teaching Practice Grade (mandatory):

MASTERS DEGREE (other than PME)	HONOURS (specify level e.g. 1.1; 2.1)	YEAR OF AWARD
UNIVERSITY/COLLEGE:	PASS	LENGTH OF COURSE

DOCTORATE	HONOURS (specify level e.g. 1.1; 2.1)	YEAR OF AWARD
UNIVERSITY/COLLEGE:	PASS	LENGTH OF COURSE

OTHER ADDITIONAL DIPLOMAS OR CERTIFICATES:

Up to a maximum of three. Any diploma/certificate listed must have been studied for a minimum of 30 hours or 12 weeks.

QUALIFICATION: HONOURS or PASS (specify level e.g. 1.1; 2.1)	AWARDING COLLEGE	YEAR OF AWARD
QUALIFICATION: HONOURS or PASS (specify level e.g. 1.1; 2.1)	AWARDING COLLEGE	YEAR OF AWARD
QUALIFICATION: HONOURS or PASS (specify level e.g. 1.1; 2.1)	AWARDING COLLEGE	YEAR OF AWARD

INSERVICE/CPD

Please list in order beginning with most recent in-service/CPD undertaken in the last 3 years, including dates and duration:

TEACHING EXPERIENCE:
SCHOOL/CENTRE (Most Recent Employment First)	FROM	TO	CONTRACT TYPE
Name	(MM/YY)	(MM/YY)	P	F	ML	TP	OTHER

Note:	P = Permanent	FX = Fixed Term	ML = Maternity Leave	TP = Teaching Practice

SUBJECTS AND LEVELS TAUGHT:

Subject Details Please specify subjects taught during the last 3 years only. Please complete all sections for each subject.	LC H	LC O	LCA	JC	TY	SEN
Subject A: sdfas
Subject B:
Subject C:

ICT AND SUBJECT CURRICULUM

Please give a brief account of your usage of ICT in your classroom practice.

For NQTs please outline your planned usage of ICT in teaching subject curriculum.

SCHOOL INVOLVEMENT/POST OF RESPONSIBILITY

Please give a brief account of any curriculum initiative or any other initiative that you have been involved in over the last 3 years.

For NQTs please give a brief outline of initiatives you might like to be involved with in school.

EXTRA CURRICULAR ACTIVITIES

Please give examples of extra-curricular activities you have been involved in within your school. Please include dates.

For NQTs please give examples of activities that you would like to promote.

Please give a brief account:

COMMUNITY INVOLVEMENT/VOLUNTEERISM/INTERESTS OUTSIDE OF SCHOOL

Dates	Name of Organisation	Status (If relevant)	Brief Description of Duties or Involvement
From (mm/yy)	To (mm/yy)

PERSONAL STATEMENT (maximum 200 words)

REFEREES - to include your most recent employer/academic supervisor (not a relative). Please inform referees that you have nominated them.

REFEREE NO. 1	REFEREE NO. 2
Name:
Position:
School/Business:
Address:
Mobile No.:

PERSONAL DISCLOSURE
St. Mary’s Secondary School has a duty to satisfy itself that no employee poses a threat to students or staff. The school must, therefore, ask the following questions at recruitment stage:
Have you ever been convicted of a criminal offence and/or an offence related to Child Welfare? YES NO
Have you ever been the subject of an inquiry of investigation by the HSE/An Gardaí concerning a child welfare matter, or an investigation arising from a complaint/allegation of child abuse or wrongdoing towards a minor? YES NO
If you answer YES to either question above, please detail below the nature and date(s) of the investigation/offence(s): (This box will enlarge as necessary)

GARDA VETTING

It is a requirement of St. Mary’s Secondary School that all existing and new appointees are subject to Garda vetting procedures.

Have you been Garda Vetted by the Teaching Council of Ireland	YES	NO	DATE:

If successful you will be required to complete the JMB Garda Vetting Process.

DECLARATION
I declare that the information given in this application is true and are correct. I understand and accept that St. Mary’s Secondary School reserves the right to verify any element(s) of particulars furnished in this application form and that the furnishing by me, of any incorrect or inaccurate particulars, will render me liable to disqualification from the application process/appointment.
Signed: (if digital signature not available please type name)
Date:

CHECKLIST BEFORE SUBMITTING APPLICATION

Have you signed the application form?
Have you noted the closing date for application?
Have you used the correct address?
Have you included your Teaching Council number?
Have you included names of referees and their phone numbers ?
Have you checked that there are no blank sections on your application?
Have you carried out a spelling and grammar check?

No CV should accompany this form.