Special Needs Assistant (SNA) - Appointment Form

• Published date: 24 October 2019
• Issuer: Department of Education

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Special Needs Assistant (SNA) Appointment Form –2021/2022

Incomplete forms will be returned to the School.

THIS FORM SHOULD BE ACCOMPANIED BY A COPY OF A LETTER OF SANCTION FROM THE

SPECIAL EDUCATIONAL NEEDS ORGANISER (SENO)

SNA Details

PPS Number __________________________________

Payroll No. __________________________________

First Name __________________________________

Surname __________________________________

Address __________________________________

__________________________________

__________________________________

Date of Birth ________/________/________________

Gender __________________________________

☐ Tick if you would like to receive your correspondence

through Irish.

Phone No. __________________________________

E-mail __________________________________

Civil Status (See Appendix A) ________________________

School Details

Roll Number _______________

School Name __________________________________

E-mail __________________________________

Phone No. __________________________________

Once fully completed, this document should be returned to the following address:

Please include the Roll No. on the outside of the envelope

Non-Teaching Staff (NTS) Payroll Division,

Department of Education,

Cornamaddy,

Athlone,

Co. Westmeath

N37 X659

BANK DETAILS FOR LODGEMENT OF SALARY (BLOCK CAPITALS):

Bank Details

Bank Name _______________________________________________________________________________

Bank Address _______________________________________________________________________________

Name on Account _______________________________________________________________________________

A/C IBAN

A/C BIC

NB: Please ensure your Bank Account is within the Republic of Ireland and is SEPA compliant

Appointment Details

Has the school confirmed that this new appointee is within

their current SNA Allocation?

YES ☐ NO ☐

Full Time ______ Part Time _____

If Part time, give details of post, e.g., 0.83, 0.5 _____

Start Date of Appointment __________________

End Date of Appointment __________________

If end-date is unknown, please inform NTS Payroll Section at least

two weeks prior to end date to avoid overpayment.

Origin of Post __________________

E.g. a New post, Replacing Retirement, Resignation Job-share, Career

break replacement, Secondment, Death, Other (state reason)

If it is not a new post (New/Additional NCSE Allocation), please

complete this section.

Name of Predecessor ___________________

Date of Leaving ___________________

Payment on the first issue of the 2021/2022

school year can only be guaranteed if this

form is received by NTS Payroll Division by

Friday 09th of July 2021

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Previous Employment Details

This section must be completed.

Note: SNAs being redeployed are subject to the requirements of both the National Vetting Burea u (Children and Vulnerable Persons) Act 2012 to 2016

and

Circular 0031/2016.

☐Tick to indicate that the school authority has complied with its statutory vetting obligations under the National Vetting

Bureau (Children and Vulnerable Persons) Acts 2012 to 2016 and with the requirements of Circular 0031/2016 in respect

of this proposed appointment.

If this requirement has not been met the proposed appointee is not eligible to be appointed. The appointment form

should

not be submitted. The school authority should also be aware that it is a criminal offence not to comply with a vetting

obligation under the National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016.

☐Tick to indicate that you have received confirmation from the Occupational Health Service in respect of the proposed

appointee’s fitness to undertake duties as an SNA in accordance with the Occupational Health Service Standard Operating

Procedures Manual.

Standard Operating Procedures Manual is available on www.education.ie. Circular 0054/2015 refers.

If not, the appointment form for this SNA should not be completed until confirmation is received.

Qualifications

☐Tick to indicate that the proposed appointee has the minimum educational qualifications for the appointment.

If this requirement has not been met the proposed appointee is not eligible to be appointed.

Keeping your tax information up to date with Revenue is your responsibility. If you need to make contact with

them regarding this employment they may ask for our Employer Reg. No., which is 9599516K.

Garda Vetting

Statutory vetting obligations under the National Vetting Bureau (Children and Vulnerable

Persons) Acts 2012 to 2016 and Circular 31/2016 effective from the 29

th

of April 2016

.

Medical Fitness