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TUS initiative

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									   Appendix 1


   Application for a position as a Supervisor/Team Leader on the Tús initiative
   with _____________________________ (known as the Implementing Body).

   Section A: To be completed by applicant

   I, (applicant’s name) _______________________ of (address)_____________________
   ___________________________________________________________________________
   with PPS Number: ______________ give permission to the Department of Social Protection to
   provide details (set out in Section B) to the Implementing Body, confirming my eligibility or
   otherwise for a position as a Supervisor/Team Leader on the Tús initiative.


   Signed___________________ (applicant’s signature)                          Date _________________


Section B: For Official Use Only (see RSO Circular 36/11):
                            To be completed by the Department of Social Protection

     To be eligible for the position of Tús supervisor / team leader, the applicant must meet the
     following criteria:
      In receipt of a Jobseeker’s Payment from the Department of Social Protection for at least 12
          months (can include Jobseeker’s Benefit),
      In receipt of Jobseeker’s Allowance at time of application, and
      Fully unemployed

The Department of Social Protection confirms that the above named:

     Meets the eligibility criteria outlined above (only tick this box if the customer meets all three criteria)
                                                  OR
    Does not meet the eligibility criteria outlined above (tick this box if the customer does not meet all three criteria)


______________________                            Print name___________________ Date_______
Local Officer


                                                                Local Office Stamp




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