ESF+ Programme Delivery 2024

Example Application Form questions


Programme Introduction

Welcome to the Taste 4 Success ESF+ Programme Application Form. We are pleased to welcome you as a potential participant in our ESF+ programmes, aimed at fostering life‐long learning and skills development. This application form is designed to collect essential information about you to support your participation in [ESF+ Course], so that we can comply with ESF+ regulations, and to ensure the success of our initiatives. The information we collect about you includes details like gender, age, education level, and special category data, which will be stored securely and held only for as long as necessary. Your Rights and Choices: The form will ask for general and sensitive information about you. You can choose if you want to share your sensitive information. If you do share sensitive information, we will handle it with utmost sensitivity and protection. You have the right to access, correct, and delete your data. You can also choose to opt out or withdraw at any time. However, if you withdraw, we will not be able to provide you with access to ESF+ courses until you reapply. If you wish to exercise these rights or have any concerns, please email dpo@skillnetireland.ie. For more in‐formation on ESF+ data processing and your rights, please refer to the ESF+ Data Privacy Notice.

List of Questions you will be asked to complete.

Before you proceed, do you consent to the data collection and processing outlined above?

  • I consent.
  • I do not consent.
Personal Details

To be filled in by Participant
First Name
Surname
Date of birth
Gender
Male
Female
Non-binary
Email Address
Contact number

County of Residence
• Co Carlow
• Co Cavan
• Co Clare
• Co Cork
• Co Donegal
• Co Dublin
• Co Galway
• Co Kerry
• Co Kildare
• Co Kilkenny
• Co Laois
• Co Leitrim
• Co Limerick
• Co Longford
• Co Louth
• Co Mayo
• Co Meath
• Co Monaghan
• Co Offaly
• Co Roscommon
• Co Sligo
• Co Tipperary
• Co Waterford
• Co Westmeath
• Co Wexford
• Co Wicklow

Commencement Date

The commencement date is the date you are completing this form.

Employment Status

Which of the below best describes your employment status?

I am an employee.
I am employed on a state scheme or community programme.
I am self-employed/I have my own business.
I am not currently active in the workforce, but now wish to return to work.
I am a student.

Please specify if you are a full or part-time student:
I am a full-time student.
I am a part-time student.

Please specify period of unemployment:
Unemployed for less than 6 months
Unemployed for more than 6 months (but for less than 12 months)
Unemployed for more than 12 months

Education

National Framework of Qualifications (NFQ) in Ireland is a system that describes what learners need to know, understand, and be able to do to achieve a qualification. It lists the main qualifications awarded at each level and pathways from one NFQ level to the next. The NFQ has ten levels, with Level 1 and 2 awards covering basic literacy and numeracy, and a PhD falling at Level 102. All qualifications included on the NFQ are listed in the Irish Register of Qualifications. The NFQ is aligned with the European Qualification Framework (EQF) and the Qualifications Framework of the European Higher Education Area (QF-EHEA), making it easier to compare qualifications across Europe [Taken from QQI.ie]

Please indicate your highest level of educational attainment

• No Formal Education.
• (NQF 1-3): Pre/Post-primary or lower secondary education or equivalent.
• (NFQ 4-5): Leaving Certificate level.
• (NFQ 6): Education Institute.
• (NFQ 6): Advanced Certificate Through Higher Education Institute.
• (NFQ 7): Diploma or Bachelor Degree Ordinary Level.
• (NFQ 8): Bachelor Degree (HONS).
• (NFQ 9): Master’s or equivalent level.
• (NFQ 10): Doctorate, PhD

Participants with Disabilities

Do you have any disabilities, health conditions or impairments that affect your ability to perform certain tasks? These may include, but are not limited to:
Vision or hearing impairment,
Difficulty with learning, remembering, or concentrating,
Difficulty with basic physical activities such as walking, climbing stairs, reaching, lifting, or carrying,
Intellectual disability, or
Chronic pain, breathing difficulties, or other chronic illnesses or condition.

Yes
No
Prefer not to answer.

If you require reasonable support to participate in the programme, please specify any areas of support that would facilitate your successful completion of the programme.

Participant Demographics

Are you an EU Citizen or from an EEA country?
– EU Countries = Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden-EEA countries = EU Countries + Iceland, Liechtenstein and Norway
Yes
No
Prefer not to answer.

Were you, or any of your parents, born outside of the Republic of Ireland or Northern Ireland?

Note: Select yes if you hold Irish citizenship and if the above applies.
Yes
No
Prefer not to answer.

What is your ethnic or cultural background?
White or White Irish
White Traveller
Roma
Black or Black Irish
Asian or Asian Irish
Other, including mixed background.
Prefer not to answer.

Do you have “fixed accommodation”?

There is no accommodation available that, in the opinion of the local authority, you and any other person who normally lives with you, can reasonably stay or remain in. You are living in a hospital, county home, night shelter or other such institution, and you are living there because you have no suitable accommodation. You are, in the opinion of the local authority, unable to provide accommodation from your own resources.

Yes
No
Prefer not to answer.

Do you reside in a rural area? Rural Definition: Population less than 300 people, principle industry is agricultural, and the main centres of activity are villages, towns or other smaller settlements.

Yes
No
Prefer not to answer.