Application for Registration as a Teacher Application for Registration as a Teacher in accordance with the Teaching Council (Registration) Regulations 2016 Please indicate the Route of Registration for which you are applying: (insert tick mark ). All applicants must complete pages 1 8 Route 1 Primary: Also complete Appendix 1 Route 2 Post- Primary: Also complete Appendices 1 & 2 Route 3 Further Education: Route 4 Other: Also complete Appendix 1 Please read the Guidance tes before completing this application form
SECTION A PERSONAL DETAILS PPS.: Teacher/Payroll.: Title: Surname: Forename: Gender: Male Female Other Date of Birth: Nationality: Previous Name (if applicable): DD/MM/YYYY Recorded for statistical purposes (e.g. Birth name or change of name by deed poll) Address for Correspondence: Important te This must be a residential address. tices served under Section 62 of the Teaching Council Act, 2001 will be served to this address Eircode: Mobile Phone : Prefix Home Phone : Prefix Email: SECTION B AUTHORISATION FOR THE TRANSFER OF QUALIFICATIONS/ REGISTRATION DETAILS TO PAYMASTER FOR CURRENT OR PROSPECTIVE EMPLOYERS INSERT YOUR NAME HERE I,, hereby authorise the Teaching Council to provide details relating to my qualifications to my paymaster (i.e. The Department of Education and Skills or ETB.) 1
SECTION C QUALIFICATIONS In the grid below please enter the exact title of each qualification e.g. Bachelor of Education, Higher Diploma in Education, Master of Arts. Title of Qualification Degree Qualification or Equivalent Teacher Education Qualification (only complete if this was a postgraduate course) College/University Attended Awarding Authority Date Commenced Year Awarded Duration of Course (insert number of years) Number of ECTS credits (in entire qualification) Subject(s) in which teaching methodologies were taken Level of Award on National Framework of Qualifications (e.g. Level 8) Final Result (Hons/Pass/GPA e.g. 2.1) Full Time: Part Time: Full Time: Part Time: If you have further qualifications, please provide details below: Online Access to Qualification Details (where available) te: If your transcripts are available on Digitary, please login to your account and share the transcript document(s) with info@teachingcouncil.ie for a minimum of 4 weeks. Website address or URL: e.g. www.ucd.ie/verify Person ID/Username: Document ID/Password: To permit access to your transcripts 2
SECTION D FIT AND PROPER PERSON ASSESSMENT CHARACTER REFERENCE te: This section must be signed by a professional person in a position of academic responsibility. Please refer to the Guidance tes before completing this section. I hereby certify that, in my professional capacity, I have known for one academic year in the last five years and that I know of nothing in his/her character that renders him/her unfit for the teaching profession. Name of Professional Person (in block capitals): Signature of Professional Person: Occupation/Position of Professional Person: Address of Professional Person: Teaching Council Registration Number (if applicable): Date: DD/MM/YYYY PLEASE AFFIX THE OFFICIAL SCHOOL/COLLEGE STAMP IN THIS BOX VETTING Please refer to the Guidance tes before completing this section. If you are applying for Vetting together with Registration, please continue to complete and submit this form. The Teaching Council will process your application on receipt of your vetting result from the National Vetting Bureau (NVB) and the fulfillment of any overseas police clearance requirements (if applicable). Vetting Reference Number: TEC001-20180426-00000 Date of Vetting Disclosure (if received): OVERSEAS POLICE CLEARANCE I have provided/enclose overseas police clearance documentation: Provided Enclosed N/a 3
SECTION E TEACHING SERVICE Please provide information below about your current/most recent teaching service/approved experience (if applicable) excluding school placement: School Name and Address/ Place of Employment: School Roll Number: Current Position: Teaching hours/number of hours of employment per week: Subjects Taught (Post-primary and Further Education only): Duration of Service: Beginning: DD/MM/YYYY To: DD/MM/YYYY Signature of School Principal/ HR Manager/ Director of ETB Date: DD/MM/YYYY PLEASE AFFIX THE OFFICIAL SCHOOL/COLLEGE STAMP IN THIS BOX Other Relevant Experience Employer: Duration of Service: Role/Position: Beginning: DD/MM/YYYY To: DD/MM/YYYY 4
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SECTION F English Language Requirement English is my first language OR 1. I enclose with this application a certified copy of a qualification (teacher education or undergraduate) acquired and examined through the medium of English. OR 2. I enclose a certified copy of an IELTS (International English Language Testing System) certificate attesting knowledge in the English language with a score of 7.0 or above. OR 3. I enclose evidence of living and practicing in a professional capacity through the medium of English in a country that has English recognised as an official language for three out of the preceding five years. OR 4. I enclose evidence of living and undertaking a programme of learning through the medium of English in a country that has English recognised as an official language for three out of the preceding five years. The Teaching Council reserves the right to independently verify the scores with IELTS. All components of the IELTS test must be attempted at the same sitting. The test must have been undertaken no more than five years prior to the date of submission or the applicant must provide evidence of having resided and worked/studied on a full time basis in an English speaking environment since having completed the evaluation. The IELTS certificate (where required) must be supplied with the registration application form, registration cannot be finalised without this document. 5
SECTION G DECLARATION The following questions should be answered by entering a tick ( ) in the appropriate box. In any case where the response to a question is, full details should be given on a separate sheet and referenced to the appropriate question. 1. Have you been convicted of any criminal offence in the State or elsewhere? (Under the National Vetting Bureau (Children and Vulnerable Persons) Act 2012 certain convictions are not required to be disclosed). 2. Have you been the subject of any adverse outcome or finding or sanction following an inquiry or disciplinary procedure by any other professional or regulatory body in the State or elsewhere? (including the equivalent of the Teaching Council in any other jurisdiction). 3. Have you been the subject of any adverse outcome or finding or sanction following an inquiry or disciplinary procedure by an employer (current or previous) in the State or elsewhere? (This includes situations where workplace restrictions were imposed following an inquiry or disciplinary procedure). 4. Are you currently the subject of any pending proceedings or investigation of the kind described in 1, 2 or 3 above, including any pending investigation being carried out by the Health Service Executive or TUSLA, the Child and Family Agency? 5. Is there any other relevant information that the Council should know about which may have a bearing upon your suitability to register? I declare that: (i) (ii) (iii) (iv) (v) (vi) the information provided by me in all sections of this application is true and accurate. I understand that further to a vetting disclosure, the Teaching Council may seek submissions, documentary and other evidence to enable the Council to satisfy itself that I am a fit and proper person to be admitted to the Register of Teachers. I understand that the Council may impose conditions on my registration where it deems appropriate. I understand that the Teaching Council shall refuse to register me if it is not satisfied that I am a fit and proper person to be admitted to the Register. I understand that the Teaching Council may seek information from me, or any other relevant person, to verify any of the information submitted by me for the purpose of this registration application. I understand that it is an offence to make a false or fraudulent declaration or misrepresentation and that it could also lead to a complaint to the Council s Investigating Committee. (vii) I understand that as a registered teacher I will be responsible for upholding and promoting the standards of the profession as set out in the Codes of Conduct and Practice for Registered Teachers. Relevant information would include any involvement in activities which could bring the reputation of the profession into disrepute. (viii) I have read and understood the Council's Privacy Statement as published on the Council's website. SIGNATURE OF APPLICANT: DD/MM/YYYY 6
SECTION H REGISTRATION FEE/ METHOD OF PAYMENT The registration fee that must be submitted with this form is 90. This fee covers the cost of registration for the first year of registration. There is no additional fee for vetting. Please choose one of the following payment options. PLEASE DO NOT SUBMIT CASH. Option 1: Debit/Credit Card Master Card: Card Number: Expiry Date: - Visa (Credit or Debit): CVV/CVN*: *The last three digits of the security code on the reverse of the card Cardholder s name (please print name): Cardholder s signature: NOTE: This page will be securely disposed of once processed. Option 2: Cheque, Postal Order or Bank Draft made payable to The Teaching Council. I enclose a: Cheque Postal Order Bank Draft 7
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SECTION I CHECKLIST Please complete and sign this checklist prior to submitting this application form. If the application form is not complete it will be returned to the applicant. 1. I have read the Guidance tes prior to completing this application form. 2. I have fully completed this application form and have entered N/A in any field that is not applicable. 3. I have included a certified copy of my marriage certificate/deed poll to facilitate a name change (if applicable). 4. I have provided proof of qualifications by submitting: (a) if trained in the State, certified copy transcripts for every year of my qualifications or (b) (c) if trained outside the State, a letter from the Department of Education and Skills confirming that my qualifications have been recognised or if trained outside the State, my qualifications have been assessed by the Teaching Council previously. My assessment number is. 5. I have completed Vetting through the Teaching Council or have recently submitted a Vetting application to the Teaching Council or I enclose a Vetting application now. 6. I have included the 90 registration fee. 7. I understand that the information provided by me on this application form will be used to contact me for registration purposes (including postal, email and SMS correspondence). 8. I understand that after a period of 3 months from the date the application is received, that if items of documentation or other items are still outstanding this application will be declared invalid and the Council will return the entire application and supporting documentation (including the registration fee). SIGNATURE OF APPLICANT: DD/MM/YYYY The Council reserves the right to verify any documentation submitted in support of an application and to seek additional documentation should it be required to determine suitability for registration. Signature of applicant: Date: DD/MM/YYYY Please send the completed application form including all mandatory documentation to: The Teaching Council Block A Maynooth Business Campus Maynooth Co. Kildare W23 Y7X0 Ireland 8
APPENDIX 1 REGISTRATION WITH CONDITIONS (POST QUALIFICATION PROFESSIONAL PRACTICE) Please refer to the Guidance tes before completing this section. ROUTE 1 PRIMARY AND ROUTE 4 OTHER Please respond to all of the following statements: I previously held full registration with the Teaching Council. I have completed Droichead. If yes, this will be verified against Teaching Council records. I have completed Probation prior to September 2010. If yes, this will be verified directly with the Department of Education and Skills: INSERT YOUR NAME HERE I,, authorise the Teaching Council to contact the Department of Education and skills to verify the above information. I have completed Probation after September 2010. If yes, please enclose Form C and statement of competence from Limerick Education Centre if not previously submitted. I have completed the Induction Workshop Programme. If yes, this will be verified against Teaching Council records. I have completed a formal Induction process in another country. If yes, you are required to apply to the Teaching Council for the assessment of that process to determine eligibility for recognition in Ireland if not previously assessed. Please contact the Council for full details. ROUTE 2 POST PRIMARY Please respond to all of the following statements: I previously held full registration with the Teaching Council. I have completed Droichead. If yes, this will be verified against Teaching Council records. I have completed Post-qualification Experience as outlined in the Guidance tes. If yes, please enclose Form B if not previously submitted. I have completed the Induction Workshop Programme. If yes, this will be verified against Teaching Council records. I have completed a formal Induction process in another country. If yes, you are required to apply to the Teaching Council for the assessment of that process to determine eligibility for recognition in Ireland if not previously assessed. Please contact the Council for full details. 9
APPENDIX 2 POST-PRIMARY CURRICULAR SUBJECTS Curricular Subject Checklist Please refer to the Guidance tes before completing this section In order to register with the Teaching Council under Route Two (Post-primary), you must meet the requirements for at least one post-primary curricular subject. Please indicate with a tick the subject you are applying to register in. Please refer to the Teaching Council s curricular subject (Post-primary) requirements before you apply: Accounting Agricultural Economics Agricultural Science Applied Mathematics Art (including Crafts) Biology Business Chemistry CSPE (Civic Social and Political Education) Classical Studies Information and Communications Technology (ICT) Construction Studies Economics Engineering English* French* Geography German* Greek (Ancient Greek) Hebrew Studies History Home Economics (Scientific and Social) Italian* Japanese* Arabic Gaeilge/ Irish* Latin Mathematics Music Physical Education Physics Physics and Chemistry Religious Education Russian* Spanish* Design and Communication Graphics (formerly Technical Drawing) Technology * LANGUAGE SUBJECTS - RESIDENTIAL EXPERIENCE AND LINGUISTIC COMPETENCE This section applies to those applying for language subjects only including Gaeilge/Irish. Please tick as appropriate My residential experience and Linguistic Competence (minimum B2 on the Common European Framework of Reference for Languages (CEFR)) is listed on my enclosed qualification transcripts I enclose with this application evidence of both my residential experience and Linguistic Competence (minimum B2 on the Common European Framework of Reference for Languages). or CEFR CEFR Residency Residency 10