Application form for the post of Team Leader for Numeracy

PROFESSIONAL DEVELOPMENT SERVICE FOR TEACHERS (PDST)
Application form for the post of Team Leader for Numeracy
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Name of Applicant:
(i) Completed application forms should be submitted in electronic format on or before
5pm on Thursday 01 May 2014 to [email protected].
(ii) Whilst e-applications are accepted up to 5pm on Thursday 01 May 2014, three signed
hard copies must also be submitted PRIOR to interview to:
Áine Duffy, Administrator
Professional Development Service for Teachers
14 Joyce Way
Park West Business Park
Nangor Road
Dublin 12
Phone: 01 - 435 8578
Fax: 01 – 4358596
(iii)
Late or incomplete applications will not be accepted.
(iv)
Receipt of completed application forms will be acknowledged.
(v)
If you have a disability which requires reasonable adjustments at the selection
interview, or which needs to be taken into account when considering your application
please let us know.
Dublin West Education Centre is an equal opportunities employer.
Office Use Only
Date Received
Application Number
Professional Development Service for Teachers (PDST)
1.
Personal Details
Name
Address
Teaching Council Reg
No.
Education Sector (per
Teaching Council
Registration)
Telephone Numbers
Primary
Post-Primary
Home:
Mobile:
Full Licence
Provisional Licence
E-mail
Driving Licence
(Please √ as
appropriate)
2.
School Details
Employer/School
Address
Roll Number
Telephone Number
3. (a) Current Position
On Secondment
Yes
No
If yes, please complete the following table
Organisation/Programme/
Support Service/None
Address
Telephone Number
Email
Position
Number of years in this position
2
Brief description of position and duties undertaken:
3. (b)
In school
Yes
No
If yes, please complete the following table
Position i.e.
Principal, Deputy
Principal, Learning
Support Teacher etc.
Position
Number of years in this position
If post-holder, please
specify duties
4. Competency in Irish:
Excellent:
Please indicate by ticking a box as appropriate
Very good:
Good:
Fair:
Please comment about your willingness to work through Irish:
5. Qualifications (including post-graduate)
Year(s)
Title
College
Major Subject(s)
3
6. Employment Experience
(a) Teaching Experience
Teaching Role
Number of
Years
School Name(s)
Class/Subject teacher
Learning Support teacher
Other: (Please specify)
Other: (Please specify)
(b) Experience of Working in an Education Setting other than a Classroom
Setting Type
Details
Where possible, please respond to the following questions in bullet format and
confine your answer to no more than 300 words per question:
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7. Vision – Please outline your vision for the post of Team Leader for Numeracy with the
Professional Development Service for Teachers and how you would contribute to the
development of the role.
8. Skills, Ability and Experience
Outline your skills, experience and abilities relevant to the post of Team Leader for
Numeracy.
9.
Other relevant information- Please outline any other knowledge/expertise or
attributes which you consider pertinent to the role of Team Leader for Numeracy.
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10.
Details of two people from whom references may be obtained.
1. Referee’s Name
Position
Address
Telephone Numbers
E-mail Address
2. Referee’s Name
Position
Address
Telephone Numbers
E-mail Address
DWEC reserve the right to seek additional referees if deemed appropriate.
I hereby certify that all information provided on this application form is true and
correct:
Signature of Applicant:
_______________________________________________
Date:
_______________________________________________
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