Checklist for Garda Vetting Application Forms

Please see the list below for our tips on filling out Garda Vetting Application Forms:

 

1. Surname

Insert current surname (i.e. second or family name)

2. Forename

Insert First name

3. Previous Surname

Insert your previous name (i.e. name before marriage or previous name if you have ever changed your name)

4. Have You Ever Changed Your Name

This section MUST be completed, please tick the appropriate answer.
If your answer is yes, please state your former first names and/or surnames

5. Alias

If you are known by any name other than the name on your Birth Certificate, please insert.

6. Date Of Birth

Insert Date of Birth

7. Place Of Birth

Insert place of Birth (i.e. Town/City and Country)

8. Please State All Addresses From Year Of Birth To Present Date

Please state all the address that you have previously resided at. Please ensure that this includes addresses from the U.K. and Northern Ireland.

The “Year From” and “Year To” boxes must be entered for every address, and there must be no gaps in the information given.

9. Conviction Details

Have you ever been convicted of an offence in the Republic of Ireland or elsewhere? Please tick the appropriate box and if yes give details.

10. Declaration Of Applicant

You, as the applicant, should read the declaration carefully, sign and date it. Your name should be printed in BLOCK CAPITALS underneath the signature.

By signing this declaration, you are giving permission to An Garda Siochana to release your personal information directly to the Authorised Signatory, who is authorised to receive it on behalf of the employer.

Any decision made, based on this information, concerning your employment is completely a matter for the employer.
On completion, this form should be returned to your prospective employer, who should then complete the section relevant to them and forward the form to Early Childhood Ireland.

11. To Be Completed By the Owner/Manager of the Childcare Service

Insert the name of the Line Manager/Contact Person who will be contacted regarding the garda vetting application forms, the Location (or Name) of the service, and the Date the form was completed and the relevant Early Childhood Ireland Membership Number. (Every member will be issued with a new Early Childhood Ireland membership number but until then you can use your existing IPPA/NCNA membership number.)

Indicate if the applicant is a New or Existing member of staff by circling the appropriate answer.

12. To Be Completed By Authorised Signatory Only

This section is for Early Childhood Ireland’s use ONLY.