Home School Community Liaison

Co-ordinator

As per DES / DEIS HSCL Guidelines for Schools

1. Name (as on Birth Certificate )

______

2. Address for Correspondence______

______

______

Telephone Number______

3.Nationality ______

4. PPS Number ______

5. Teaching Council Registration No. ______

6. Present position

______

______

7. Teaching Experience

No

8.Career Break in Carndonagh Community SchoolNo. of Years:

From ______To ______

8.1.Job-Share in Carndonagh Community SchoolNo. of Years:

From ______To ______

9. Qualifications

9.1 Degree______Pass

Year of Award______1st Class Hons

2nd Class Hons

3rd Class Hons

9.2 If BA Special - State grade obtained in Hons subject:

Subject______Grade ______

Subject(s) of Final Year Primary Degree Examination

Subject (1)______Subject (2)______Subject(3)______

Subjects recognised to teach by the Teaching Council:______

9.3.Other subjects relevant to teaching taken as part of University Course:

Subjects:

______Number of years studied______

______Number of years studied______

10. Teacher Training ( H.Dip.Ed. / PGCE / PGDE or other)

______

University______

Address______

Pass

Year of Award______

Honours

11. Qualification in Irish

WrittenYearYear

OralYear

12. Post Graduate Qualifications

(1)______(2)______

University______University______

Address______Address______

______

Year of Award______Year of Award ______

13. 1Grade of Post of Responsibility ( if any ) held in CCS:

______

______

13.2Date of Appointment to current Post of Responsibility: ______

13.3Please specify Title and duties currently carried out for this Post: ( Use additional sheet/attach copy of POR duties contract )

______

______

______

______

13.4Please specify duties previously carried out______

______

______

13.5Please indicate experience as a Post-holder in any other school

______

______

14. Projects that you have managed / co-ordinated in CCS. Please give title

and dates.

  1. RELEVANT IN-SERVICE / CPD WHICH YOU HAVE ENGAGED IN

WHILE A TEACHER IN CCS:

Title:Venue:Date: Certification

15.1 Please indicate how any two of the above have equipped you for the role of HSCLO.

16.OUTSIDE INTERESTS:

16.1Are you a current member of a pedagogical subject association?

Yes/No______

16.2If yes, which association? ______

Please give account of the work/meetings you currently undertake with above association(s): ______

______

______

17. What significant contribution do you feel you have made as a teacher in

Carndonagh Community Schoolin the last 3 years?

______

______

______

______

______

______

______

______

18. Please indicate any in-service/courses attended/interest/experience you might have in teaching any of the following:-

Transition YearComputersCSPESPHE

PLC

LifeskillsReligionRSELCALCVP

18.1 Comments on above______

______

______

______

______

19. Particulars of whole time Post-Graduate non-Teaching Experience / Out of

School Experience relevant to the position.

Nature of Employment / From / To

19.1 Please outline how details at 19. would be of assistance in the role of

Home School Community Liaison Co-ordinator

______

______

______

______

______

______

20. Please give names, addresses and telephone numbers of two people from

whom references may be obtained

______

______

______

______

Tel No.______Tel. No.______

Any additional information you consider relevant may be attached.

The above records are accurate, in so far as I can recollect and I submit them for comparison with the office records.

SIGNED______(Teacher)

DATE______

CANDIDATES PLEASE NOTE:

(A)Completed application forms should be returned to the Secretary, Board of Management, Carndonagh Community School by 4.00p.m. Tuesday 24th April 2018

(B) All applicants should note that the Board of Management will nominate a date, time

and venue, which cannot be altered, for interview purposes.

(C) The Board of Management will not be acknowledging receipt of completed

application forms but will notify each applicant of the success or not of their

application following interviews and BOM approval of candidates recommended by

the Teacher's Selection Committee.

(D) Applicants may include additional sheets with relevant details of information they

may wish to bring to the attention of the Selection Committee.

(E) Are you related to or have any stated interest with any member of this school's

Teaching Selection Committee? Yes No 

If yes please give name(s) ______

(F) The HSCLO position will be filled in accordance with the DES HSCL Guidelines for

Schools which outline the duties appropriate to the position.

(G)The successful applicant will be expected to meet commitments given at interview.

(H)Details regarding the Selection Committee and Marking Scheme will be provided to

all applicants prior to interview.

(I) The Board of Management may contact either of the named referees, for a

reference. Please sign the following acknowledgement to authorise this matter:

I HEREBY AUTHORISE the Board of Management to make enquiries as outlined at 20. of the Application form:-

SIGNATURE OF APPLICANT ______

DATE______

LATE APPLICATIONS WILL NOT BE CONSIDERED

Online Applications will not be accepted.

Applicants are advised to make and retain a photocopy of this completed form

Short-listing may apply.

Carndonagh Community School is an Equal Opportunities Employer.