Camphill Communities of Ireland- Application Form


Camphill Communities of Ireland

Job Application Form

PLEASE TYPE OR WRITE IN BLACK PEN FOR PHOTOCOPYING PURPOSES

Position applied for:______

Personal Details

Full Name: ______

Address: ______

______

______

______

Date of Birth: ______

Telephone No. ______(Work) ______(Home)

______ (Mobile)

Email address: ______

If successful when could you take up appointment? ______

EDUCATION
Type of establishment attended since the age of 12 to present / Dates attended –
To:From:
(State full or part time) / Qualifications/Accreditation etc.

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Camphill Communities of Ireland

c/o The Bridge Community, Main Street, Kilcullen Co. Kildare

Tel: 045-481597

Camphill Communities of Ireland- Application Form

TRAINING

Please give details of any external or internal courses or training within the last years (including dates and length or course, etc.)

Membership of Professional Bodies
Name /
When granted
Membership
/ Status of
Membership
Employment / Work Experience

Please start with your present/last employer and work backwards

Dates From/To / Employer (Name and Address) / Job Title and Main Duties / Salary / Reason for leaving

Are there any legal restrictions on your right to work in this country?

If yes, please give details.

Please give details of any unpaid/voluntary work experience
Please give brief details of any interest, hobbies, pastimes
DRIVING ABILITY

Do you hold a full current Driving Licence?Yes/No

HEALTH

A disability or health problem will not preclude full consideration of your application. Please specify any serious or recurring illness resulting in lengthy absence from work in the last 3 years.

POLICE CLEARANCE

Any position offered will be subject to successful Garda Clearance obtained through Camphill.

Is there any reason why this might present a problem?

Please set out, with specific reference to the job and person specifications for this role, why you have applied for this position, the qualities you would bring and how you meet the requirements of this post.
Any further information that you feel would assist your application.
REFERENCES

Please give details below of 3 people whom we may contact for references. At least one of the referees should have knowledge of you in a working environment, either paid of unpaid and one should be your current/last employer.

Previous surname (if necessary) for reference purposes: ______

Can we contact your present employer
for reference purposes prior to interview?______

Name / Name / Name
Position / Position / Position
Address / Address / Address
Tel No: / Tel No: / Tel No:
DECLARATION

I certify that all the information I have given is correct and understand that any false information given may result in any job offer being withdrawn.

Signature of Applicant______

Date______

Camphill Communities of Ireland is an Equal Opportunities employer.

Please return this application form and any attachments before the closing date by email to

or send all documents to:

Ben Gamble

The Human Resource Working Group

Camphill Communities of Ireland

The Bridge Community

Main Street

Kilcullen

Co. Kildare

Page 1

Camphill Communities of Ireland

c/o The Bridge Community, Main Street, Kilcullen Co. Kildare

Tel: 045-481597