APPLICATION for POST of School Warden - Job File No. 17/124

CORK COUNTY COUNCIL

NB – For Office Use Only Board No. ___ Board No. ___ Board No. ___ Application Form No. Application Form No. Application Form No.

APPLICATION FOR POST OF School Warden - Job File No. 17/124 St Johns Girls N.S. Carrigaline.

You are asked to fill in this form so that the selectors may have the same kind of information, and in the same order about each applicant.

Please return this form, together with 3 copies to RECRUITMENT OFFICER, CORK COUNTY COUNCIL, COUNTY LIBRARY BUILDING, CARRIGROHANE RD , CORK.

The closing date for completed application forms is not later than 4.00pm on Friday 29 th September, 2017.

A claim that an application form was lost or delayed in the post will not be considered unless accompanied by official evidence of posting. Evidence acceptable in such circumstances will be:

1. A Registration Certificate, or 2. A certificate received at the time of posting from the Post Office Authority.

Do not forward any documents with this form unless asked for.

Surname Forename (As per Birth Certificate)

Postal Address: Home Correspondence Address: (If different)

Home Telephone No.: Contact/ Mobile Telephone No.:

PPS No.: Email Address:

Give names, addresses and telephone nos. of two persons, not related to you, who can give a personal testimonial as to your character.

(1) (2) EDUCATION

Dates Name of School or Examinations Taken (List each Results to include the College Attended Subject) level (i.e. higher, lower, foundation etc.) From To

Official Examination No.

EMPLOYMENT HISTORY

Please state in order, from present day to first job, positions held since leaving school. It is important to give full details. Additional particulars may be furnished on a separate sheet if the space below is insufficient.

Employer’s Name, Address, Positions Held & Full Statement of Duties Dates Reason for Nature of Business and Leaving Telephone No. From To Applications from people with disabilities are welcome and information about disability is only requested on the application form in order that appropriate arrangements for an interview can be made if necessary.

Do you consider that you have a disability? Yes No

Are you registered with any organisation for the disabled? Yes No

If you consider that you have a disability please give details of any requirements for interview arrangements e.g. sign language.

Have you any objection to the Council contacting your present employers?

Yes ______No ______

Have you any objection to the Council contacting your PREVIOUS employers?

Yes ______No ______

Please indicate the area of the county in which you would like to obtain employment?

Do you hold a current safe pass registration card? Yes ______No ______

If Yes, what is the Expiry Date of Safe Pass: ______

Do you hold a Manual Handling Certificate? Yes ______No ______

If Yes, what date was Certificate received: ______

If successful, when could you take up duty? ______LEISURE, INTERESTS, ETC.

Please give details of membership of any clubs, societies, associations, etc., including offices held at present, or in the past.

List any other interests and hobbies, distinguishing those in which you are active.

Any additional information you wish to give in support of your application.

The information furnished in this application form is correct.

SIGNATURE: ______DATE: ______