Please return this form by email to
GUI.jobs@esri.ie
Application to Join Growing Up in Ireland Interviewer Panel
PLEASE READ THE ATTACHED INFORMATION SHEET BEFORE COMPLETING THIS FORM.
Please note that the ESRI is seeking applications from candidates who live in the following geographical
areas:
North Dublin (Swords, Skerries, Balbriggan)
East Meath Area( Bettystown, Laytown, Duleek, Drogheda)
Louth
Donegal ( Milford & Inishowen Peninsula)
Galway
Cavan
Tipperary ( Thurles)
Carlow Town
North Kerry
Kilkenny (Urlingford)
If you do not live in any of the above areas, your application will be retained for a period of one year and
you will be contacted if there is a requirement in your area.
Q.1
Please complete your contact details:
Name:
Today’s Date:
Address:
Telephone No:
Mobile No:
County:
E-mail
Address:
Post Code
(if Dublin):
Q.2
Please note that all correspondence related to the recruitment of interviewers will be by email only
and applicants must have a personal email address.
Please indicate how regularly you check your email:
Weekly
Daily
Q.3
Do you have access to a car? It is essential for all interviewers to have access to a car as they
need to transport the survey equipment and materials.
Yes, all day
Q.4
Less than once a week
Yes, part of day only
No access to a car
Do you have access to a telephone landline? This is required for the transfer of data and is
therefore a requirement of the role.
Yes
No
1
Q.5
Interviewers are required to be flexible in relation to facilitating interviews at times that suit
respondents. Are there any restrictions on your availability?
Yes
No
If Yes, please give details here __________________________________________________________
_____________________________________________________________________________________
Q.6
Q.7
Please describe as fully as possible your level of skill in using a computer. For instance, what
programs do you use and do you use them regularly or occasionally. Please state whether you
have an ECDL or similar qualification.
How would you describe your English language skills (reading, writing and speaking)?
Basic
Intermediate
Advanced
Excellent
Relevant English language qualifications:
______________________________________________________________________________________
______________________________________________________________________________________
Q.8
Please list all languages in which you are fluent:
________________________________________________________________________
Q.9
What is your legal status for working in Ireland? Please provide details, EEA citizen, valid visa
permission to remain and work in Ireland e.g. stamp 4 or employment permit required (see note
below)
______________________________________________________________________________________
______________________________________________________________________________________
2
Q.10 Please indicate the highest level of formal education you have received, including the school/college
attended, dates, certificate or diploma received and grades.
Years attended
From
To
Name of School/College
Q.11
Certificate, Diploma
or Degree
Details/ Grades
Please indicate which of the following best describes your present situation regarding work:
Full-time employment
Student
Part-time employment
Home duties
Unemployed
Other please specify
___________________
Q.12
Please describe your present or most recent occupation:_____________________________
Q.13
(a) Have you any experience of conducting a survey interview using a laptop?
Yes
No
If yes, please describe (include name of survey, organisation and dates) _____________________
_______________________________________________________________________________
(b) In addition to the above at Q.13a, have you any experience of conducting other face to face
survey interviews?
Yes
No
If yes, please describe (include name of survey, organisation and dates) _____________________
_______________________________________________________________________________
(c) Have you any experience of conducting a survey interview using a telephone?
Yes
No
If yes, please describe (include name of survey, organisation and dates) _____________________
3
_______________________________________________________________________________
Q.14
If you previously worked as an interviewer with the ESRI please record your interviewer number
Q.15
Please describe any other relevant work experience which you feel should be taken into
consideration, such as dealing with the public on a face-to-face basis. If none, please write ‘None’.
Name of company or
organisation
Q.16
No
Do you understand that being on the interviewer panel does not guarantee any work will be
assigned to you?
Yes
Q.18
Dates
Do you understand that your name will be added to the interviewer panel only after successful
screening, assessment, references and a clean Garda vetting, based on your initial application?
Yes
Q.17
Type of work
(Brief description of work undertaken)
No
How did you hear of this vacancy? (ESRI website, referral, social media, etc.)
Radio Advertisement
ESRI Newsletter/Website
Newspaper
Twitter
LinkedIn
Referral
Other, please state: ________________________
4
Notes: This is an application to have your name placed on a panel of potential interviewers from which successful
applicants will subsequently be selected, as required, for training and assessment of their suitability for the work in
question.
Data Protection
This application requires you to submit “personal data” as defined by the Data Protection Acts 1988-2003. These
data will be processed exclusively for the purpose of recruitment, selection and employment procedures, including
further vetting with appropriate third parties (Garda vetting) as necessary. As noted below, you will be asked to
supply reference checks and your referees may be contacted for verification purposes. The ESRI will protect the
information which you provide and will ensure that it is not passed to anyone who is not authorised to see it. The
information will be retained in accordance with the Data Protection Acts.
Declaration
I confirm that, to the best of my knowledge and belief, the information provided above is complete and correct. I
understand that omitting and misrepresenting any relevant facts may subsequently lead to my employment being
refused or terminated.
In accordance with the Data Protection Acts 1988 - 2003, I agree to the company processing the personal data I
have provided.
Yes
No
Name:
Date:
Thank you for your interest in joining the Growing Up in Ireland interviewer panel.
Please return this application form by email to GUI.jobs@esri.ie by 5pm Monday 7th
December 2015.
Please ensure you sign and return your Garda Vetting form by post to be received by
Wednesday 9th December 2015.
Human Resources Department (REF GUI-15),
ESRI,
Whitaker Square,
Sir John Rogerson’s Quay,
Dublin 2.
Application forms will not be considered without a completed Garda Vetting form.
References:
Please note if you are invited to participate in the initial selection process (attend a 3 hour Information Session) you
will be required to bring references. It is GUI policy to request 2 written references which may be validated at the
discretion of the Study Team.
Reference criteria:
5












Reference must be independently written by referee
A family member cannot act as a referee
The ESRI cannot provide a reference
The referee must be precise about the nature of the relationship between themselves and the applicant
References must be dated
References must have an original signature
References must contain a contact telephone number for the referee
Ideally references will be provided on headed paper
At least 1 reference must be written within the last year
Ideally no reference should be older than 3 years
Ideally at least 1 reference should be from an employer (paid or voluntary work)
A reference that is not from an employer should be from a person of standing within the community
6