graduate intern programme application form

Please complete all sections of the form and returnto . The final date for receipt of completed applications is5pm on Wednesday, 1 June 2016

Section 1 – your personal details
First name:
Surname/Family name:
Home address:
Contact telephone number(s):
Email address for correspondence:

If successful, which CES office would be your base?

Dublin:Belfast:

Are you eligible to live and study in Ireland? YES NO

Are you eligible to live and study in Northern Ireland? YES NO

Where did you first hear about CES Graduate Intern Programme? Please state:

Section 2 – academic qualifications/higher education
Dates attended / Third level Institute,
College or University / Course Title / Result / Overall grade obtained
From / To
Section 3 – work / voluntary experience
Dates of employment / Employer’s / Sponsor’s nameand address / Position held and brief description of duties / Reason for leaving
From / To
Section 4 – your understanding of the work of CES
In 250 words or less: please describe your understanding of the work of CES?
Section 5 – getting evidence into policy and practice
In 250 words or less: please outline what, in your view, are the opportunities and challenges of getting evidence into policy and practice?
Section 6 – benefits of the CES Graduate Intern Programme
In 250 words or less: please outline why you think the CES Graduate Intern Programme would be beneficial to your career?
Section 7 – referees
Referees:
Please provide the names and contact details of two people to whom we may apply for information about your attendance, qualifications and experience, one of whom must be at senior level in your most recent academic institution.
Kindly note that any offer to participate in the programme will be subject to receipt of two satisfactory references.
Referee No. 1 / Referee No. 2
Name: / Name:
Title: / Title:
Address: / Address:
Daytime tel no: / Daytime tel no:
Mobile tel no: / Mobile tel no:
Email: / Email:
Before commencing the programme, successful applicants will be requested to provide proof of identification and verification of qualifications.
I certify that the above information is correct and I agree that CES may take reasonable steps to verify this information by obtaining proof of qualifications and references. I agree to CES processing and retaining the personal information contained on this form for any purposes connected with my application for CES Graduate Intern Programme.

Signature: Date submitted: