I understand that any false information given in relation to my medical history may result in my loss of entitlement for any compensation from ACC or paid sick leave entitlement.

Please read and sign the following statement.
I consent to Rathkeale College Principal Appointment Committee seeking verbal or written information on a confidential basis about me from representatives of my previous/current employers and/or my referees, to be used for the purpose of ascertaining my suitability for the position for which I am applying.

I understand that the information received by Rathkeale College is supplied in confidence as evaluative material and will not be disclosed to me.

Please read and sign the following statement.

I declare that to the best of my knowledge the answers in this application and the information provided in my curriculum vitae are correct. I understand that if any false or misleading information is given, or any information suppressed, I will not be employed or if I am employed, my employment may be terminated.

The information provided or to be provided to the Rathkeale Board in regard to this application will only be used for the purpose of determining the applicant’s suitability to fill the vacancy. Only the Board Appointment Committee, their Adviser and the Board Secretary will have access to the information. The curriculum vitae of the successful applicant will be kept on file along with their application. All referee reports along with other information gathered on applicants during the process will be destroyed.

In the spaces below please write a short summary of your achievements and/or reflections under each of the following headings. Each section should not exceed 300 words.