Resumption from Career Break

• Published date: 27 May 2021
• Issuer: Department of Education

Roll No

School:

Address:

E-mail:Telephone No:

PERSONAL DETAILS AND REGISTRATION DETAILS OF TEACHER

Teacher's PPS No.Teacher No.

(Compulsory for salary)(if known)

Surname:First Name(s)

Permanent Home Address:

(All correspondence will be directed to the above address)

Date of birth: Contact Telephone No:

Personal Email:Mobile Number:

(1) Are you currently registered with the Teaching Council?Yes/No

(if 'No', form should not be completed and you must register with the Teaching Council)

(2) Registration number:

Registration date:

(3) Category of registration: (Please tick appropriate box)

FullConditionalExpiry date:Non-Qualified

Must be completed if conditional

(4) Have you completed vetting process, where relevant? Yes/No

(Refer to Circular 31/2016)

(5) Have you received confirmation of fitness to teach from the

Occupational Health ServiceYes/No

(Only for teachers returning from a career break of 2 full school years or more)

(Refer to Circulars 0065/2008 and 99/2008)

If No, resumption form should not be completed until confirmation is received

BANK DETAILS FOR LODGEMENT OF SALARY: (Block Capitals )

Bank Name:

Bank Address:

Full name in which

A/C is held:

A/C No: Bank Sort Code:

A/C IBAN:

A/C BIC/SWIFT:

NB Please ensure your Bank Account is within the Republic of Ireland and will support the Electronic Money

Resumption from Career Break

~ PART 2 ~

~ PART 1 ~