Please attach passport photo and write your name on back.

Application Form for Temporary General Operative (Band 3)

National Parks and Wildlife Service

Connemara National Park

Please complete all applicable sections in block capitals. All applications will be assessed and may be short-listed based on the information provided on this form. Please give clear and specific answers to all questions where requested.

1. Name, Address and Contact Details

First Name: / Surname:
Address:
Mobile: / Contact Telephone:
(Or number where
message can be left)
Email Address(if available):

Driving Licence: Please Tick Yes □ No □State Category of Licence ______

A full, clean category Bdriving licence is essential to this position and applicants who do not hold one will not be considered. Please note that you will be required to bring your licence with you if you are called to interview.

Being licenced to drive other categories of vehicle (BE, W, C, C1, etc.) would be a distinct advantage.

2. Details of Certificates Held:

If you have completed any relevant courses, please supply details below. If successful in your application, you will be asked to supply documentary evidence in support of your qualification(s) by providing copies of degrees, diplomas, certificates etc. Offer of a contract will be contingent on verification of your qualification(s).

Please state if you hold any of the following certificates:

Safe Pass Yes□No □ Year expires: ______

Manual Handling Yes□No □ Year expires: ______

First Aid Yes□No □ Year expires: ______

CS30, CS31 Yes□No □ Year expires: ______

PA1 Yes□No □ Year expires: ______

3. Details of Previous and Current Employment:

(Please state if on Public Service career break or leave of absence)

Employer

/ From date (MM/YY) – To date (MM/YY) / Position held / Reason for leaving

4. Give details of your previous general operative work experience (max. 250 words).

5. Give an example of your previous experience in the use of machinery (max. 250 words).

6. Give an example of a situation where you demonstrated good teamwork (max. 250 words).

7. Give an example of a situation where you solved a problem using your own initiative (max. 250 words)

8. If called for interview, do you require any special facilities? Yes □ No □

If you require special facilities at interview (e.g. wheelchair access, sign interpreter, etc.) Please specify the facilities required.

9. Declaration

I certify that the above details are correct.

Signature ______Date ______

FREEDOM OF INFORMATION DECLARATION
NOTE: Applicants should note that some or all of the information contained in this application may be released subject to the terms of the Freedom of Information Act, 1997.
If any of the information in this application is considered sensitive, please identify same and specify in writing the reasons for its sensitivity.
The Department will consult with you about sensitive information before making a decision on any Freedom of Information request received.

10. Please provide any further information in support of your application (max. 250 words).

11. Referees

Please submit name and address of two referees. Referees should not be related to you and should ideally be present or previous employers if you are or were previously employed.

Name: / Name:
Address: / Address:
Phone No.: / Phone No.:
Email address (if available): / Email address (if available):

Have you any objection to us contacting either of these referees without any further reference from you? Yes □No □

Please note that referees will only be contacted if you are successful at interview.

Please do not send Curriculum Vitae.
The closing date for receipt of applications is 3pm,Thursday 17th May 2018. Candidates should emailtheir application and a JPEG image to or submit a hardcopyof their application and a passport photo to:
John Hempenstall
Human Resources Unit,
Department of Culture, Heritage and the Gaeltacht,
23 Kildare St,
Dublin 2,
D02 TD30.
Application forms sent by post should be posted in sufficient time to ensure delivery by the deadline.
If you have any queries, please contact or Tel: (01) 631 3982.

Checklist

Have you provided a copy of your Category B driving licence?Yes□No □

Have you provided your contact details? Yes□No □

Have you provided the start and end date of your current and previous employments? Yes□No □