APPLICATIONFORM

APPLICATION REFERENCE

(For employer’s use only)

all forms must be returned by 3.00 pm on the closing date, unless stated otherwise.

PLEASE NOTE iNCOMPLETE FORMS MAY RESULT IN YOU NOT BEING SHORTLISTED.

NAME OF APPLICANT:
PREFERRED CONTACT TELEPHONE NUMBER:

If posting your application please mark your envelope ‘CONFIDENTIAL’

Electronically completed application forms can be emailed to

Guidance notes for completion of application forms:

  • Candidates are only short-listed for the next stage of the recruitment process based on information contained in the application form, which meets the criteria detailed in the job description and person specification.
  • Please ensure that you retain the original format of the application form at all times. Please do not expand the boxes.
  • A continuation sheet is attached and can only be used in relation to the sections on employment history and education.
  • Please ensure all questions are answered and that you fully complete the application form in either black ink or typewritten.
  • It is not sufficient to simply list your duties and responsibilities. Write down clearly your personal involvement in any experience you quote. Write ‘I’ statements e.g. I planned meetings, I managed a budget, I prepared a presentation. It is how you actually carried out the piece of work that the selection panel will be interested in.
  • Application forms, including those submitted electronically, which are received after the above time and date will notbe considered. If you email your application, you must add a typed signature but will be asked to sign it at interview.
  • The Corrymeela Community accepts no responsibility for checking or notifying candidates if forms are unreadable or incomplete for technical reasons.
  • CVs must notbe included and will not be considered.
  • We are unable to acknowledge receipt of application forms but we will write to you once shortlisting has been completed.
  • If successful, you will be required to produce official original proof of any qualifications supporting your application.
  • If you have a disability or if you have difficulties with any aspect of our recruitment and selection process, please complete the special arrangements section in the table below.
  • The Corrymeela Community is an equal opportunities employer and welcomes applications from all sections of the Community.

personal details

title (mr, mrs, miss, ms, dr) / first names / surname
national insurance number / maiden name (if appLICABLE)
HOME ADDRESS
POSTCODE / ADDRESS FOR CORRESPONDENCE (IF DIFFERENT)
POSTCODE
HOME TELEPHONE NO. / DAYTIME TELEPHONE NO.
MOBILE NO. / E-MAIL ADDRESS
PLEASE STATE SPECIAL ARRANGEMENTS, IF ANY, WHICH YOU WOULD REQUIRE IF CALLED FOR INTERVIEW
DO YOU HOLD A FULL CURRENT DRIVING LICENCE? YES☐ NO ☐
DO YOU HAVE ACCESS TO A FORM OF TRANSPORT THAT WILL PERMIT YOU TO MEET THE REQUIREMENTS OF THE POST? YES☐ NO ☐
PLEASE NAME TWO REFEREES, AT LEAST ONE OF WHOM SHOULD HAVE KNOWLEDGE OF YOUR PRESENT WORKAND BE IN A SUPERVISORY/ MANAGERIAL CAPACITY (RELATIVES SHOULD NOT BE NAMED)
PLEASE STATE IF REFERENCES MAY BE MADE TO YOUR PRESENT EMPLOYER BEFORE INTERVIEW YES☐ NO ☐
IF NO, GIVE REASON
NAME / NAME
ADDRESS
pOSTCODE / ADDRESS
POSTCODE
TELEPHONE NO. / TELEPHONE NO.
E-MAIL ADDRESS / E-MAIL ADDRESS
OCCUPATION / OCCUPATION
NATURE OF RELATIONSHIP / NATURE OF RELATIONSHIP

EDUCATION INCLUDING PROFESSIONAL QUALIFICATIONS

LEVEL OF QUALIFICATION
(E.g. GCSE, A Level, Degree etc.) / SUBJECT & GRADE / PLACE OF STUDY/AWARDING INSTITUTION / YEAR

MEMBERSHIP OF PROFESSIONAL BODIES

NAME OF PROFESSIONAL BODY / Type of membership / date of regristration

OTHER RELEVANT TRAINING

NAME OF TRAINING COURSE / DATE UNDERTAKEN

EMPLOYMENT HISTORY

PRESENTPOST (or last post IF CURRENTLY UNEMPLOYED)

EMPLOYER
ADDRESS / POSITION HELD
CURRENT SALARY
NOTICE PERIOD REQUIRED
DATESTARTED / REASON FOR LEAVING
DATE LEFT
MAIN DUTIES AND RESPONSIBILITIES

PREVIOUS POSTS –PLEASE LIST YOUR PREVIOUS POSTS BEGINNING WITH THE MOST RECENT.

EMPLOYER NAME / DATE
FROM / DATE
TO / JOB TITLE; KEY RESPONSIBILITIES, REASON FOR LEAVING

SUPPORTING INFORMATION

USING ONLY THE SPACE PROVIDED, PLEASE DETAIL, IN BULLET POINT FORM, HOW YOU MEET EACH OF THE LISTED ESSENTIAL CRITERIA REQUIRED FOR THE POST.

Essential Criteria

Criteria 1. Proven track record, of at least three years, of working with community groups on contentious community relations issues.
Criteria 2. Demonstrable progressive experience of managing projects working with Asylum Seekers, Refugees and Vulnerable Migrants, over a minimum of one year.
Criteria 3. Proven track record of working with at least one of the following marginalised groups: youth, LGBTQ+, disabilities, gender or religion.
Criteria 4. Demonstrable ability to work both independently and as part of a team, with high-level organisational skills to successfully prioritise work without compromising quality.
Criteria 5. Proven capability in project management, financial management and delivering against agreed schedules, targets and deadlines.
Criteria 6. Proven experience of managing projects funded by multiple income streams.
Criteria 7. Demonstrable experience of strong leadership and management skills with good understanding of motivating and building cross-cultural teams.
Criteria 8. Proven track record in successful proposal writing and programme development.
Criteria 9. High level of experience and competence with IT.
Criteria 10. Ability to work within the mission, vision, ethos and values of the Corrymeela Community.
Criteria 11. Ability and willingness to work flexibly including evenings and weekends.
Criteria 12. Ability and willingness to travel across Northern Ireland, Republic of Ireland and United Kingdom.

USING ONLY THE SPACE PROVIDED, PLEASE DETAIL, IN BULLET POINT FORM, HOW YOU MEET EACH OF THE LISTED DESIRABLE CRITERIA REQUIRED FOR THE POST.

DESIRABLE CRITERIA

Criteria 1. Relevant third level qualification or equivalent in social science, social justice, youth work, peacebuilding, internationaldevelopment or other relevant field.
Criteria 2. Knowledge and experience of the community and voluntary sector in the areas of peace building, conflict resolution, media and communications work.
Criteria 3. Experience of managing and administrating a European funded project.
Criteria 4. Experience in developing, managing and leading out on projects with residential elements.

REHABILITATION OF OFFENDERS (EXCEPTIONS) ORDER NI 1979

This post is exempt from the provision of Section 4 (2) of the Rehabilitation of Offenders Act by an Exception Order. Applicants therefore are not entitled to withhold information about convictions which for other purposes under the Act are ‘spent’. Failure to disclose any such conviction could result in dismissal or disciplinary action.
Do you have any convictions that are not “protected” as defined by the Rehabilitation of Offenders
(Exceptions) (Northern Ireland) Order 1979, as amended in 2014? YES☐ NO ☐
If yes, please provide details below:-
A copy of the Corrymeela policy on ‘Recruitment of Ex-offenders’ may be obtained by contacting the Human Resources Department.
IT SHOULD BE NOTED THAT DISCLOSURE OF A CONVICTION DOES NOT NECESSARILY DEBAR YOU FROM EMPLOYMENT
NB. FAILURE TO COMPLETE THIS FORMMAY RESULT IN YOUR APPLICATION NOT BEING SHORTLISTED
The post you have applied for may be considered as regulated activity. Is there any reason you cannot work in a regulated activity? (*Regulated Activity is an activity that you must not do if you are barred from working with children or vulnerable adults).
YES☐ NO ☐ If yes, please provide details
Are there any restrictions to your residence in the UK, which might affect your right to take up employment in the UK?
YES☐ NO ☐
If yes, please provide details
If you are successful in your application, would you require a work permit prior to taking up employment?
YES☐ NO ☐
If yes, please provide details
Data Protection Statement
The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process. If you succeed in your application and take up employment with us, the information will be used in the administration of your employment and to provide you with information about us or third parties via your payslip. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process. We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law. By signing the application form we will be assuming that you agree to the processing of sensitive personal data, (as described above), in accordance with the Data Protection Act.

DECLARATION

I DECLARE THAT TO THE BEST OF MY KNOWLEDGE THE INFORMATION GIVEN IS HONEST AND ACCURATE.
I CONFIRM THAT THERE ARE NO MEDICAL REASONS THAT WOULD PREVENT ME FROM UNDERTAKING THE DUTIES OF THIS POST.
I UNDERSTAND THAT ANY FALSE/MISLEADING STATEMENT AND/OR OMISSION ON THIS FORMMAY RESULT IN DISQUALIFICATION OR DISMISSAL IF APPOINTED.
I UNDERSTAND THAT APPOINTMENT IS SUBJECT TO RECEIPT OF SATISFACTORY REFERENCES AND A SATISFACTORY PROBATIONARY PERIOD.
I ALSO UNDERSTAND THAT APPOINTMENT MAY BE SUBJECT TO THE SATISFACTORY COMPLETION OF EITHER A STANDARD OR AN ENHANCED ACCESSNI SECURITY DISCLOSURSE (further details on this may be found in the AccessNI Code of Practice, available on or upon request from the Human Resources department).
SIGNATURE ………………………………………………………………………….……………………………… DATE ……………………………………….

CONTINUATION SHEET

IF YOU HAVE INSUFFICIENT SPACE TO COMPLETE INFORMATION IN THE EDUCATION OR EMPLOYMENT HISTORY SECTIONS OF THIS APPLICATION FORM, PLEASE CONTINUE ON THIS PAGE.

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