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- 1 - Application Form – Post-Primary Teachers – Circular 0013/2012

- 1 - Application Form – Post-Primary Teachers – Circular 0013/2012

- 1 - Application Form – Post-Primary Teachers – Circular 0013/2012

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3 (i) Please state name, address and roll numbers of all the schools in which you currently teach, where<br />

applicable:<br />

Name Address Roll Number DEIS School<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

4. Professional or other qualifications held:<br />

College,<br />

University or<br />

other Awarding<br />

Body<br />

Dates of<br />

attendance<br />

and whether<br />

full-time or<br />

part-time<br />

Degree or other<br />

Qualifications<br />

obtained/to be<br />

obtained<br />

Grade/Class<br />

(if any)<br />

Subject(s)<br />

Date of<br />

Award<br />

5. Previous Teaching Experience<br />

5 (a) Number of years teaching mainstream classes: ___________________________<br />

Name and Address of School(s)<br />

Dates<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

___________________________________________________________________________________________________________________________________<br />

Tá cistiú á dhéanamh ar Oideachais Múinteoirí ag an Roinn Oideachais<br />

Teacher Education is funded by the Department of Education<br />

agus Scileanna faoin bPlean Forbartha Náisiúnta 2007-2013 and Skills under the National Development Plan 2007-2013<br />

SPCD12<br />

- 4 -

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