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
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