Loreto Secondary School, Kilkenny

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Please do not submit a c.v. or written references etc. (may be requested at a later date).

Email *

Vacancy *

Please indicate the vacancy/vacancies for which you are applying.

Art - 15 hours

Required

Name *

Your mobile phone number *

Teaching Council Number *

Is your registration currently valid and up to date? *

What subjects are you qualified to teach (teaching council)? *

Please give details of your Leaving Certificate (or equivalent) results plus name of school. *

Title of Degree *

e.g. B.A., B.Ed. etc. and year of award

Degree - college *

Name of third level of institution

Degree Subjects - final year *

Final year subjects - i.e. subjects in which you majored

Degree Subjects - other years *

i.e. perhaps subjects which you studied in other years.

Degree - level studied *

i.e. perhaps subjects which you studied in other years.

Honours

Pass

Degree result *

Overall final result - e.g. 2.1

1.1

2.1

2.2

3rd class honour

PASS

Other:

Teaching Qualification *

If different from above - state year and college also

Teaching Qualification - subjects *

Teaching Qualification - final result *

Teaching Qualification - teaching practice grade *

Grade specifically awarded for teaching practice

Number of years you have been teaching (exclude teaching practice)? *

Indicate the number of years for which you have been teaching for the majority of a school year.

General Teaching - subject 1 *

Name subject and levels taught and number of years teaching the subject

General Teaching - subject 2 *

Name subject and levels taught and number of years teaching the subject

General Teaching - subject 3 *

Name subject and levels taught and number of years teaching the subject

T.E. 1 - school *

T.E. 1 is your most recent teaching experience - please type name of school and duration of contract or indicate if T.P.

T.E. 1 subject 1 *

Please type the name of main subject/approx hours/highest level (e.g. L.C. H.L.)

T.E. 1 subject 2 *

Please type the name of next subject/approx hours/highest level (e.g. L.C. H.L.)

Referee 1 *

Indicate the name/position/school/contact phone number of a referee from your most recent school (note that referees from other schools may also be contacted).

Referee 2 *

Indicate the name/position/school/contact phone number another referee (preferably in education).

What extra-curricular activities have you promoted in your previous/current schools? *

What extra-curricular activities would you like to offer in Loreto? *

Your address *

Employment History - please give a brief but complete outline of all other employments to date (not mentioned above). *

Training - what training/courses/study have you undertaken that is not mentioned above? *

Other information - please use this section if there is any other information you would like to provide. *

Child Protection/Vetting - at Loreto, the welfare of our students is of paramount importance. In accordance with our Child Safeguarding and Vetting Policies, the following questions are asked. Please read our Vetting Policy which can be found in the Child Protection section of our website (www.loretokk.ie) and confirm that you have done so: *

I have read the policies referred to above.

I have not read the policies referred to above.

Vetting - where have you been residing for the past five years? *

Vetting - were you ever the subject of an inquiry by TUSLA/the HSE concerning a child welfare matter? *

Yes

Vetting - Were you ever the subject of a Garda criminal investigation arising from a complaint of child abuse? *

Yes

Vetting - were you the subject of any allegation of criminal conduct or wrongdoing towards a minor? *

Yes

Vetting - are you aware of any material circumstance in respect of your own conduct which touched/touches on the welfare of a minor? *

Yes

Vetting - a fundamental term of your employment that you make appropriate full disclosure in respect of the questions outlined above. Please confirm that you have done so and also that you have read appendix 1 of our Vetting Policy carefully. *

Yes

Declaration. *

I hereby declare that all information in this application form is accurate to the best of my knowledge.

Yes

Required

Declaration 2 *

I have re-checked all information before submitting the form.

Yes

Required

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