Church of Ireland College of Education Training Course for Special Needs Assistants 2012 - 2013 The Church of Ireland College of Education invites applications for enrollment on the following courses for Special Needs Assistants, who have not been in receipt of prior training, to be delivered during 2012-2013. These courses are approved by the Teacher Education Section (DES) and will be offered subject to demand. Introductory Course (Twenty hours) Certificate Course (Sixty hours). These courses will be delivered in the Church of Ireland College of Education, Rathmines, Dublin 6. Attendance is a course requirement. You must be available to attend at CICE on the dates indicated below in order to apply for the course. Introductory Course This course will be of twenty (20) hours duration, delivered over three days on the following dates, from 9.00 am to 4.40 pm each day: Wednesday 31st October 2012 Thursday 1st November 2012 Friday 2nd November 2012. On successful completion of this course, participants will be eligible to be considered for the Certificate course. Please note, any SNA who has already completed an approved introductory course may apply for the Certificate course. A photocopy (not the original) of the certificate awarded on completion of the introductory course must accompany any application. Certificate Course This course will be of sixty (60) hours duration and will be delivered on the following dates, from 9.00 am to 4.40 pm each day: Saturday 17th November Saturday 23rd February st Saturday 1 December Saturday 9th March Saturday 8th December Saturday 23rd March th Saturday 19 January Saturday 13th April. Saturday 2nd February Applications Applicants must be currently employed as special needs assistants in mainstream primary or post-primary schools or in special schools. All applications must be made on the appropriate form, a copy of which accompanies this notice and can be downloaded at www.cice.ie . Completed application forms (including a photocopy of the relevant introductory course certificate, if appropriate) should be marked ‘SNA Application’ and returned to the Church of Ireland College of Education, 96, Upper Rathmines Road, Rathmines, Dublin 6, by close of business on Friday 19th October 2012. Church of Ireland College of Education Courses for Special Needs Assistants 2012 – 2013 Application Form PERSONAL INFORMATION Name of Applicant: _________________________________________________________________ Home Address: ________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Date of Birth: _______________________ Home Phone Number: _________________ Email Address: ___________________________________ SCHOOL DETAILS School Name: School Address: Mobile No: ______________ _____________________________________ Roll Number: _______ _________________________________________________________ _________________________________________________________ _________________________________________________________ Principal’s Name: _________________________________________________________ School Telephone No: ____________________ Fax No.:____________ School E-mail Address: ________________________ Sector: (Please tick as appropriate) Primary Post-Primary Special School Other (Please Specify) ____________________________________________________ ELIGIBILITY What course/s are you applying for? Introductory Course Certificate Course Have you satisfactorily completed the 20 hour introductory course for SNAs? Yes No Date of course completion: _________________ Venue: ________________ Education Centre. Please note: This form MUST be accompanied by a copy of the certificate issued to SNAs by their Education Centre upon successful completion of the APPROPRIATE Introductory Course for SNAs. You must include a copy of the relevant certificate in order to be eligible to proceed directly to the Certificate course. 1 of 2 PREVIOUS APPLICATIONS Have you applied previously to the Church of Ireland College of Education for a place on the Certificate Course for Special Needs Assistants? (Please state the year of your application and venue for which you applied). Yes __________ No __________ No. of previous applications ________________________ Year of application Venue for which you applied EMPLOYMENT (Please tick as appropriate) Are you employed on a full-time yearly contract? Yes No If you are on a part-time contract, how many hours do you work per week?: _________ WORK EXPERIENCE & TRAINING Please give details of any previous training you have undertaken in relation to your role as a SNA, indicating the level at which it occurred (e.g. PLC, certificate, diploma, FETAC award, degree, etc). _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Please give details of any work experience relevant to your application: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ DECLARATION I confirm that the information contained in this form is correct, to the best of my knowledge. Signed (Special Needs Assistant): ________________________ Date: ___________ I confirm that the applicant is employed in this school as a Special Needs Assistant for 2012-2013. Signed (Principal): ________________________ Date: ___________ IMPORTANT NOTE: The Church of Ireland College of Education reserves the right to withdraw the offer of a place in circumstances where, on the date on which the course commences, the applicant is not working in full-time recognised employment as a special needs assistant. Please return this fully completed form (along with a photocopy of the relevant introductory course certificate, if appropriate) by close of business on Friday, 19th October 2012 to the Church of Ireland College of Education, Rathmines, Dublin 6. (Please mark the envelope ‘SNA Application’). 2 of 2