School aged childcare practitioner

If you are having issue submitting this form, you can download a copy of the application Here and send it to LeCheile Admin

    Position applied for: School aged childcare practitioner

    Surname (required)

    First Name (required)

    Email (required)

    Address (required)

    Contact No: (required)

    Education & Training

    Secondary Education

    Dates

    Name of school

    Examinations taken and results

    Third Level Education

    Dates

    Name of college/university or other institution

    Examinations taken and results

    Employee History

    Give details of all positions held since completing your full-time education. Start with your present or most recent position.

    Dates

    Name of employer; address and nature of business

    Position and duties

    Reason for leaving or wanting to leave

    Dates

    Name of employer; address and nature of business

    Position and duties

    Reason for leaving or wanting to leave

    Dates

    Name of employer; address and nature of business

    Position and duties

    Reason for leaving or wanting to leave

    Training

    Interests

    References

    Please give the names, address and phone numbers of two persons who are in a position to comment on your professional/work ability. (References will not be taken up without clarification/confirmation with you in the first instance.)

    Ref 1 (required)

    Ref 2 (required)

    Delaration

    I declare that there is no reason why I would not be considered suitable to work with children on young people. I declare that I have never been convicted of any offence involving any type of harm to a child or children, nor have I ever been warned our cautioned in relation to any such matter. I also declare that there are no civil or criminal proceedings of any nature pending against me at the date of this declaration relating to any allegation concerning any type of harm to a child or children.

    Signed ____________________________________________

    Date __/__/__

    Are you willing to submit your details for Garda vetting if offered a position? yn

    I declare that the information given on this form is complete and correct to the best of my knowledge and I understand that inaccurate or false information given may result in an offer of employment being withdrawn.

    Signed ____________________________________________

    Date __/__/__