Application Form

PREFERRED TRAINING CENTRE

PERSONAL INFORMATION


Please upload a passport type photograph of yourself for your file. The photograph should be in jpg or jpeg format. Printed copies will not be accepted

EMPLOYER DETAILS

You must work a minimum of 20 hours per week to be eligible to apply for the programme. Please note that should you work between 20 and 30 hours per week, it may take longer than 16 months to complete the programme. For further information, please contact the Nursing Administrator at dentalnursetutor@dental.tcd.ie

PREVIOUS EMPLOYMENT

Please provide details of your previous relevant experience (that will support your application) including:
  1. Employer (Name and Address)
  2. Dates (From, To)
  3. Duties

EDUCATION

Please provide details of your Secondary Education (Highest Level obtained), including:
  1. Qualification achieved e.g. Leaving/Junior
  2. Year
  3. Subjects
  4. Level/Grade Achieved
Please provide details of your Post-Secondary Education (Highest Level obtained), including:
  1. Qualification achieved e.g. Certificate/Diploma/Degree
  2. Year
  3. Subjects
  4. Level/Grade Achieved

ADDITIONAL INFORMATION

DECLARATION