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 upload a copy of your secondary level certificate. * A copy of the certificate is compulsory for candidates born in 1995 or later. * If you are 23 years of age and do not have a copy of your secondary level certificate, please attach a letter confirming this.
Please upload a completed and signed copy of the Verification of Qualification document, available from the Supporting Documentation on the application page of the website.
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