APPLICATION FORM

ADULT EDUCATOR

PLEASE ENSURE THE FOLLOWING ESSENTIAL STEPS ARE ADHERED TO ON

COMPLETION OF THE APPLICATION FORM

1. E-mail application form to [email protected] by 12 noon, Friday, 24 February 2023

2. Please ensure that the completed Application Form is saved as a PDF document with your
own name and the job reference number, for e.g. John Smith FET195

3. Insert Correct Reference Number in subject line of Email – FET200 Please only enter the
reference number in the subject line of the email as it appears on the advertisement (do not
include spaces/dashes/additional words e.g. Reference).

4. Applications are only accepted by email. Late applications will not be considered.

Before completing this form please note the following:

 Application Form must be TYPED.

 Application is by official Laois and Offaly Education and Training Board (LOETB) Application
Form only. No letter of application, CV or written reference should accompany this form.

 Do not alter the application form as it may render your application invalid. Boxes may be
expanded as required – please comply with maximum word count.

 All sections must be fully and accurately completed, giving as much detail as possible of your
skills and experience relevant to the position advertised.

 Each person who is appointed by LOETB to a position that a necessary and regular part of
which, consists mainly of the person having access to, or contact with, children or vulnerable
adults must be vetted in accordance with the National Vetting Bureau (Children and Vulnerable
Persons) Acts 2012 to 2016 and receive a satisfactory disclosure from the National Vetting
Bureau.

 All personal information which LOETB holds is protected by the Data Protection Acts 1988 to
2018. The Data Protection Acts apply to the keeping and processing of Personal Data, both in
manual form and on computer. LOETB is obliged to comply with data protection as set out in
these Acts.

 LOETB is subject to the Freedom of Information Act 2014 and this Act gives people a right of
access to certain records held by LOETB.

 LOETB is an equal opportunities employer.

 Shortlisting of candidates may take place. Canvassing will disqualify.

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 APPLICATION FORM
ADULT EDUCATOR

ADULT EDUCATOR

National Construction and Training Centre, Mount Lucas

1 Year Fixed Term Contract

Ref: FET200

Name:

Address:

Eircode:

Telephone No:

E-mail:

Teacher Council Registration (if applicable): A candidate proposed for appointment to the teaching
staff of Laois and Offaly Education and Training Board must be registered in accordance with Section 31 of the
Teaching Council Act, 2001.
Registration Sector(s) Registration Subject(s) through which Expiry Date
No Level qualified

Are you currently on a career break? Yes No

If so, please give details:
Are you currently on maternity leave? Yes No

If so, please give details:

Are you currently in receipt of a Public Service Pension in respect of previous Yes No
employment?

Are you currently in a Pension Scheme? Yes No

Are you currently in receipt of a State Pension Yes No

Do you currently hold a full valid driving licence? Yes No

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EDUCATION AND QUALIFICATIONS (ADDITIONAL LINES CAN BE ADDED IF NEEDED)

NAME AND ADDRESS OF
ACADEMIC AWARD/QUALIFICATION OBTAINED LEVEL ON NFQ YEAR OF
INSTITUTION/AWARDING FRAMEWORK AWARD
BODY

Professional development courses and qualifications

DETAILS OF COURSE /
AWARDING BODY AWARD/QUALIFICATION OBTAINED YEAR OF
AWARD

EMPLOYMENT RECORD
PRESENT OR MOST RECENT EMPLOYMENT POSITION
EMPLOYER DATES DATES NATURE OF EMPLOYMENT
(NAME AND ADDRESS) FROM: TO: (OUTLINE JOB TITLE, DUTIES AND MAIN RESPONSIBILITIES)

PLEASE GIVE DETAILS OF YOUR PREVIOUS WORK HISTORY BEGINNING WITH THE MOST RECENT POSITION
(ADDITIONAL LINES CAN BE ADDED IF NEEDED)
DATES DATES EMPLOYER NATURE OF EMPLOYMENT REASON/S FOR
FROM: TO: (NAME AND ADDRESS) (OUTLINE JOB TITLE, DUTIES AND MAIN LEAVING
RESPONSIBILITIES )

List any extra-curricular/voluntary activities in which you are or have been involved in that are
relevant to this position:

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ADULT EDUCATOR

Role and function of Adult Educator

A number of key competencies have been identified as being essential for the effective performance
of the role and function of the Adult Educator.

 Organisation and Planning

 Assessment and Records
 Interpersonal and Communication Skills
 Self-Awareness and Self-management Skills

Outline ONE example where you have displayed each of these competencies (no more than 300
words per competency). The example may be drawn from your experience in various settings
including professional, social, sporting or voluntary.

Organisation and Planning:

Assessment and Records:

Interpersonal and Communication Skills:

Self-awareness and Self-management Skills:

Gaps in Employment History

Please indicate the reason for any gaps in your employment history:

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Please indicate the reason for any gaps in your employment history:

Supporting Statement

Please provide any further relevant information in support of your application. You should
demonstrate why you have applied for the position and outline any other knowledge/expertise or
attributes which you consider pertinent to the position.

REFERENCES

It is the policy of LOETB to seek a reference from two people (other than relatives or friends) with
knowledge of you and your work to whom professional reference can be made. One should be your
current or most recent employer. [Please note: your referees may be contacted without further
communication with you].

Reference Number 1 Reference Number 2

Name: Name:
Address: Address:

Mobile No: Mobile No:

Email Address: Email Address:
Position: Position:

DECLARATION & SIGNATURE

If this section is not completed, your application will not be considered for processing.

Please tick Yes No

Have you been investigated by the Gardai, HSE, or your employer in relation to
substantiated complaints made concerning your treatment of children?
Were you the subject of any allegation of criminal conduct or wrongdoing
towards a minor?
Are you aware of any material circumstance in respect of your own conduct
which relates to the welfare of a minor?

Please note that it is a fundamental term of your employment that you make appropriate full
disclosure in respect of the questions outlined above. You should also note that if the centre is
satisfied, in the future, that you have made an incomplete or inaccurate disclosure, you may face
disciplinary action, up to and including dismissal.

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The centre undertakes that all responses furnished by you in respect of the above questions will be
treated as confidential, subject to any reporting obligations which may be imposed on the centre,
pursuant to “Children First” published by the Department of Children and Youth Affairs, the Child
Protection Procedures for Primary and Post-Primary Schools published by the Department of
Education or pursuant to any legal obligation imposed on the centre to facilitate the effective
investigation of crime.

In the event of your being recommended for appointment to this position Laois and Offaly ETB is
obliged to comply with the terms of current DES Circular Letters.

The ETB’s policy is that all newly appointed staff will be vetted via the National Vetting Bureau and
that the outcome of the vetting will be considered in the light of the ETB’s vetting policy. This applies
in respect of appointments where the person is not currently an employee of the ETB and applies
irrespective of whether the individual has been previously vetted or not.

 You are required to sign the declaration below certifying that all information you have provided
is accurate.
 The Selection Committee may wish to check any of the details you have provided.
 Providing incorrect information or deliberately concealing any relevant facts may result in
disqualification from the selection process or, where discovery is made after an appointment, in
summary dismissal.

I declare that the information supplied in this application form is accurate and true.

Signed ___________________________ Date _________________

COMPETENCY BASED APPLICATION FORM

PLEASE READ ALL NOTES ATTACHED TO THIS FORM PRIOR TO COMPLETING

THIS COMPETENCY BASED APPLICATION FORM

A Competency Based Application Form requires you, the candidate, to describe some of your
personal achievement to-date that demonstrate certain competencies (necessary skills and
qualities) required for the position you are applying for (e.g. Leadership, Analysis and Decision
Making, Commitment to Public Service Values).

ALL QUESTION AREAS ON THIS APPLICATION FORM MUST BE COMPLETED. INCOMPLETE

APPLICATION FORMS WILL NOT BE CONSIDERED.

A definition of a skill or quality is given for each competency. You are then asked to describe a
situation, from your own experience, which you think is the best example of what YOU have done
which demonstrates this skill or quality. It is essential that you describe how YOU demonstrate the

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skill or quality in question.

You are advised to structure what you write so that you give specific information about what YOU
have done – for example, do not simply say “X was successful”, you should describe exactly what
YOU did and how YOU demonstrated the skill or quality in question.

For each example please include the following:

a) The nature of the task, problem, or objective
b) What you actually did and how you demonstrated the skill or quality (and, where appropriate,
the date you demonstrated it)
c) The outcome or result of the situation and your estimate of the proportion of credit you can
claim for the outcome

Please do not use the same example to illustrate your answer to more than two skill areas.

PLEASE NOTE: if you are called for interview, the Board may look for additional examples of
where you demonstrated the skills required for this post so, you should think/prepare a number of
examples of where you demonstrated each of the skills.

The Shortlisting Process:

It is important to note that while you may meet the essential qualification/s and eligibility
requirements of the position, if the numbers applying for the position are such that it would not be
practical to interview everyone, LOETB may decide to employ a shortlisting process to select
candidates for interview.

During the shortlisting process, the shortlisting board will examine the application forms and assess
them against pre-determined criteria based on the requirements of the position and the quality of
your application form. It is therefore in your own interests to provide a detailed and accurate account
of your qualifications/experience/skills and competencies on the application form in a clear and
concise manner.

Candidates who are not shortlisted are not necessarily deemed unsuitable, or incapable of
undertaking the job, rather that those who were shortlised demonstrated more clearly their
suitability for the specific position in terms of their qualifications/experience/skills and
competencies.

Each recruitment competition is independently asssessed by the shortlsiting board and considered in
the context of the needs of the specific position advertised. Accordingly scores may differ from
competition to competition.

Panels:
Following completion of interviews, panels may be formed, the duration of which is at the discretion
of the LOETB. While a panel remains in force, offers of employment may be made subject to
confirmation of qualifications and subject to confirmation Qualifications, References and Pre-
Employment Medical or other requirements such as Garda Vetting of the particular post. Persons to
whom an offer of employment is made must take up duty within 1 month from the date of offer, or
such extended period as the ETB may agree, otherwise, the ETB may decide not to appoint them.

Privacy Notice:

By applying for any post, working or volunteering with, or otherwise taking up any position with
Laois and Offaly Education and Training Board (LOETB), you acknowledge that your personal data
(including special category personal data) shall be processed by LOETB. This Privacy Notice gives
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you some helpful information about who we are, what personal data we collect about you, why, who
we share it with and why, how long we keep it, and your rights. If you need more information, please
see our Data Protection Policy available at http://www.loetb.ie/data-protection.

1. We are LOETB. Our address and contact details are Administrative Offices, Mountrath Rd.,
Portlaoise, Co. Laois (057/8621352). We provide secondary level education, further
education and training including apprenticeships; Youthwork, community-based education
programmes; prison education, outdoor education; specialist programmes e.g. through Music
Generation and other programmes/courses as maybe delivered/funded/sponsored in whole
or part or in co-operation with other bodies/agencies etc. For further information, see section
1 of our Data Protection Policy available at www.loetb.ie/data-protection.

2. We collect and use your personal data. The personal data we collect includes your name; date
of birth; address; contact details; CV and qualifications; vetting outcome; Teaching Council
registration; registration with any other professional/accrediting body; PPS number;

financial data; images (staff cards, CCTV); medical, health and occupational health data;
immigration/work-visa information; information relating to recruitment, promotions, and
appointments processes; other IR/HR processes; pensions details etc. We use personal data
for purposes including: running an efficient service; complying with our obligations as an
employer; for recruitment and appointments; allocating resources to our education centres;
monitoring the effectiveness of our equal opportunities policies; to discharge our duties to
other staff and students; complying with our statutory reporting obligations to Government
bodies and EU funding bodies; resolving disputes and defending litigation etc. The
information we collect about you depends on various factors, e.g. we will hold differing levels
of information about a job applicant as compared with a long-standing employee. Certain
personal data is collected and aggregated for use on an anonymised basis, e.g. to monitor our
compliance with equal opportunities and non-discrimination policies. For further
information on what data we collect, why we collect it, how we use it, and the legal basis for
same, please go to section 2 of our Data Protection Policy available at www.loetb.ie/data-
protection.

3. We share your personal data with third parties, including other Government bodies.
Depending upon the nature of your role within LOETB, this may include data-sharing with
bodies including the Department of Education and Skills, Revenue Commissioners,
Department of Social Protection, Comptroller & Auditor General, TUSLA, An Garda
Síochána, HSE, the Teaching Council or any other regulatory body to which you belong, your
Trade Union (for IR/HR issues), occupational health advisors, our insurance company (Irish
Public Bodies), banks/financial institutions (to pay wages), pension administrators and
pension trustees, future employers (for references etc), other service providers (including IT
providers, security providers, legal advisors) etc. The Government bodies to which we
transfer your personal data will use it for their own purposes (including: to verify other
information they already hold about you, for fraud prevention measures, etc) and may
aggregate it with other information they already hold about you. For further information on
who we share your data with, when and in what circumstances, and why, please see section 3
of our Data Protection Policy available at www.loetb.ie/data-protection.

4. We do not transfer your personal data to a third country or international organisation.

5. We do not engage in automated decision making/profiling.

6. Some personal data is only kept for a short period (e.g. we will destroy at the end of an
academic year because it is no longer needed). Some data we retain for a longer period (eg.
we retain your data even after you leave our employment). For further information on the
retention periods, please go to section 6 of our Data Protection Policy available at
www.loetb.ie/data-protection.
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7. You have the following statutory rights, that can be exercised at any time:
(a) Right to complain to supervisory authority.
(b) Right of access.
(c) Right to rectification.
(d) Right to be forgotten.
(e) Right to restrict processing.
(f) Right to data portability.
(g) Right to object and automated decision making/profiling.

For further information, please see section (7) of our Data Protection Policy available at
www.loetb.ie/data-protection, or alternatively contact our Data Protection Officer.

8. We have appointed a Data Protection Officer (DPO). The DPO’s name and contact details are
Frank Walsh, Administrative Offices, Castle Buildings, Tara Street, Tullamore, Co. Offaly
(057/9349400), email: [email protected]. If you have any queries, please consult our Data
Protection Policy (available at www.loetb.ie/data-protection) or contact our DPO at
[email protected].