PROFESSIONAL DEVELOPMENT SERVICE FOR TEACHERS (PDST) Application form for the post of Team Leader for Numeracy PHOTO 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: 4 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. 5 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: _______________________________________________ 6
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