RD2 16-17 APPLICATION FOR REDEPLOYMENT FOR A TEACHER AWARDED A FIRST CID UNDER CIRCULAR 0024/2015 Refer to Circular 0024/2015 –Implementation of the recommendations of the Expert Group on Fixed Term and Part Time employment in Primary and Second level education in Ireland -before completing this form. Please note that in the event of you being redeployed, a copy of this form will be given to the school to which you are being redeployed. Accordingly, please ensure that it is completed accurately and in full. The redeployment situation in the school arose as a result of: a teacher returning from career break/secondment – see Paragraph 7 of Circular 0024-2015 a subject mismatch in the school – see Part D of Circular 0024-2015 Delete as appropriate Compulsory Voluntary Tick as appropriate A: School Details Name Address Roll No. B: Teacher Details Full Name Home Address Contact Phone Number Email address PPS No. Payroll No. Date CID awarded Teaching Council Registration Number Please attach a copy of your current registration with the Teaching Council Subjects Registered: 1. 2. 3. C: Teacher Qualifications Subjects in final degree examinations Degree Title Awarding Body 1. College attended 2. Year Awarded 3. Level of Award H. Dip in Education Yes / No Year: Honours/Pass Other/Specialist Qualifications (e.g. Guidance, Special Educational Needs, etc.) 1. Title: Awarding Body: Year: 2. Title: Awarding Body: Year: Compulsory Redeployment Only Do you want to be redeployed within 50 km of your home or school address? Compulsory and Voluntary Redeployment State the location(s) to which you want to be redeployed. Return the completed form to the Post Primary Allocations Section of the Department by Friday 4 March 2016. RD2 16-17 D: Teaching Experience Subjects taught (please list all of your teaching experience, in chronological order) Subject Cycle Level From To School Your timetabled hours in the current school year (2015/2016) Subject Cycle Level Hours/week Level Hours/week Your timetabled hours in the last school year (2014/2015) Subject Cycle E: Posts of Responsibility (Provide details of a Department supported post of responsibility, where applicable) F: Certification of Teacher I certify that the above information is correct. I attach a copy of my current registration with the Teaching Council. Signature of Teacher: _________________________________________ Date: ______________________ G: Certification of School Management I certify the above information is correct in accordance with school records. Signature: _________________________________________________ (Delete as appropriate) Chief Executive / Principal / Secretary to Board of Management School Stamp Return the completed form to the Post Primary Allocations Section of the Department by Friday 4 March 2016.