Project Assistant

Application for Employment

Part A Ref: ______/ PA – 01-18

THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE

DO NOT CHANGE THE LAYOUT OR THE FORMAT OF THE FORM AND COMPLETE THE FORM EITHER IN YOUR OWN HAND-WRITING USING CAPITAL LETTERS AND BLACK INK USING, OR TYPE-WRITTEN IN FONT SIZE 12 MINIMUM.

Personal details
Name(s):
Surname:
Address:
Post Code:
Email: / Date of Birth:
Tel. Home: / Work: / Mobile:
National Insurance Number:
How did you hear of this vacancy?
Education and training
Name of School/College etc. / Qualification & Grade / Dates
References: Please give us the name, address and status of two referees who are willing and able to provide a reference for you. One of who should be your present or most recent employer (unless you have not worked) and one other who is able to describe your suitability for this post.
Current/most recent employer
Name & Address:
Tel No:
Email address:
Capacity known to you:
Contact prior to interview? /
Referee No. 2
Name & Address:
Tel No:
Email address:
Capacity known to you:
Contact prior to interview?
Yes
/
No
/
Yes
/
No
Additional Information
As defined under unspent criminal convictions of the Rehabilitation of Offenders Act 1974, please give details of any convictions for criminal offences.
Have you any prosecutions pending?
Yes No
If yes, please give details:
Are you free from immigration control and able to remain and work indefinitely in the UK?
Yes No
You are required to provide evidence of the above details at your interview by bringing with you proof of eligibility to work in the UK (Passport / Birth Certificate etc.) as appropriate.
Are you, to your knowledge, related to any staff member or Board of Trustees member of Positive Life?
Yes No
If yes, please state their name and capacity in which they are known to you:
Are you registered disabled? Yes No
Please detail any absences due to illness in the past two years (include number and length of any absences)
Do you hold a full valid UK driving license? Yes No
If appropriate, please detail any points or convictions etc:
You are required to provide evidence of the above details at your interview by bringing with you your Driving License & Counterpart
Employment history
Present or most recent
Name & Address of Employer:
Position Held:
Brief Description of Duties:
Date Started:
Period of notice required: / OR Leaving Date:
Salary:
Reason for leaving, or for wishing to leave:
Previous Employment starting with the most recent first – please include details of both voluntary and paid roles over the last 15 years
Date
From & to / Employer / Job Title and brief detail of duties / Salary / Reasons for Leaving
Date
From & to / Employer / Job Title and brief detail of duties / Salary / Reasons for Leaving
Declaration:
I confirm that the information provided in this application is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false or misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK, an ACCESS NI check and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file.
Signature:
/
Date:

Part B Ref: ______/ PA – 01-18

SHORTLISTING INFORMATION

Please use this section to show how your experience, skills and training gained both in paid employment and in voluntary work, or through study, make you suitable for this post. Please read the candidate information, job description and person specification for the post thoroughly and ensure that you give sufficient information, including dates, to describe and show how you meet the requirements of the role. The shortlisting panel will only see Part B of your application so only the information you give here will be considered in the decision whether or not to interview you. If you omit something it cannot be assumed from elsewhere in the application so it is important that you demonstrate clearly your experience, skills and knowledge.

Section 1: Essential Qualifications
Detail your educational qualifications:
Section 2: Essential Experience
Provide details including dates of roles that you have held which demonstrate two year’s full-time experience in a similar role. Please be sure to include a description of the level interaction with the organisations service users:
Please detail, including dates your roles that demonstrate two years’ experience in the use of all Microsoft applications in an office environment:
Section 2: Desirable Experience
Provide dates and details of one year’s experience of co-ordinating materials & arrangements for public affairs events & outreach and support groups in a variety of settings:
Section 3: Essential Skills
Please give examples to demonstrate your skills in the following areas:
Communicating effectively in person, in writing and over the telephone with individuals and with a wide variety of organisations and audiences:
Earning and maintaining the trust of the organisations stakeholders and in particular our clients:
Prioritising tasks and working on your initiative:
Contributing to the work of a team:
Organisational skills and attention to detail:
Data Protection Act 1998
All or parts of the information on this form may be stored on computer files and used for the purpose of personnel administration. Positive Life undertakes to treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998.

Thank you for completing this form.

Please return by e-mail to: or by post to

The Monitoring Officer, 20 Derryvolgie Avenue, Belfast, BT9 6FN

The closing date for receipt of completed applications is 12.00 noon on 12th January 2018.

Applications received after this time will not be accepted.

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A Positive Life is a company limited by guarantee registered in Northern Ireland with company number NI27941.

A Positive Life is recognised as a charity for tax purposes by HMRC, reference number XR54104 and NIC number 102077.