COVER SHEET WITH APPLICATION FORM

Job File No.: 17/112 Job File Title: Retained Firefighter –Bandon Brigade

At present the number of vacancies is 1. This information may be subject to change. No additional

information regarding the vacancies is available at this time.

Failure to comply with the following 2 criteria hereunder may result in your application being deemed invalid and therefore will NOT be processed further for this competition.

1. The original form accompanied by three copies must be submitted (4 in total).

2. Each application form must be signed and dated by the applicant.

All incomplete applications will be returned as invalid after the closing date and will not be included in the competition. There is no guarantee that the above criteria will be checked prior to the closing date for the competition.

GUIDELINE FOR COMPLETING APPLICATION FORM

Application Form

·  A Shortlisting process may be applied to this competition. Accordingly, it is very important that you show how you meet the requirements for the position.

·  Each section of the form must be completed. All information relating to this application must be completed on the form.

·  CV’s are not accepted and will be returned.

·  If a candidate is applying for multiple competitions, a form for each competition must be submitted, with the relevant copies.

·  Only the official application form for the post will be accepted.

Closing Date

The closing date for this competition is Wednesday 26th July, 2017.

·  All forms must be received in full by 4.00 pm on this date.

·  Faxed or emailed forms will be not be accepted. Full original forms must be submitted by this date.

·  Any forms received after this closing date will not be accepted.

·  It is in your interest to get a certification of postage / registration certificate, in the event of the form being lost or delayed.

Qualifications for the Post

·  Please ensure that the qualifications for the post are clear to you and that you show on the form that you satisfy them.

·  Please note that it is a requirement of the post that applicants must reside and work within 2 miles of the fire station of the relevant unit and whose ordinary activity does not take them away from the town.

·  Candidates successful at Interview will be required to undergo Garda Vetting, which will be directly arranged by Cork County Council.

·  Please ensure that you include your original Birth Certificate with the application form.

All incomplete applications will be returned as invalid after the closing date and will not be included in the competition.

Forms will be acknowledged by post within 2 weeks of receipt.

CORK COUNTY COUNCIL

NB – For Office Use Only / Board No. ___ / Board No. ___ / Board No. ___
Application Form No.
Application Form No.
Application Form No.
APPLICATION FOR POST OF / Retained Firefighter –Bandon Brigade
Job File: 17/112

You are asked to fill in this form so that the selectors may have the same kind of information, and in the same order about each applicant.

Please return this form, together with 3 copies to RECRUITMENT OFFICER, PERSONNEL DEPARTMENT, CORK COUNTY COUNCIL, COUNTY LIBRARY BUILDING, CARRIGROHANE ROAD, CORK.

The closing date for completed application forms is not later than 4.00 pm on Wednesday 26th July, 2017.

A claim that an application form was lost or delayed in the post will not be considered unless accompanied by official evidence of posting. Evidence acceptable in such circumstances will be:

1. A Registration Certificate, or

2. A certificate received at the time of posting from the Post Office Authority.

Do not forward any documents with this form unless asked for.

Section 1: Personal Details

PPS No: / Cork County Council Employee No:
(if applicable)
Title Mr/Ms/Mrs for salutation purposes / Surname / Forename (As per Birth Certificate)
Home Address: / Correspondence Address: (If different)
Home Telephone No.: / Contact/ Mobile Telephone No.:
Email Address:
Details of transport (if any) available:

Please state class(es) of current licence held:

Full Licence:
Provisional Licence:

Give names, addresses and general company telephone nos. of two persons, not related to you, who can give an employer reference:

Employer Reference 1 / Employer Reference 2

Section 2: Education Details

Dates / Name of School or College Attended / Examinations Taken (List each Subject) / Results to include the level (i.e. higher, lower, foundation etc.)
From / To
Official Examination No.

TRAINING COURSE(S) UNDERTAKEN (EITHER PRIVATELY OR IN-HOUSE):

Training Course Description / Date

ADDITIONAL QUALIFICATIONS GAINED (IF ANY):

Qualification / Firm/College/Institute / Date

Section 3: Employment Details

Please state in order, from present day to first job, positions held since leaving school. It is important

to give full details. Additional particulars may be furnished on a separate sheet if the space below is insufficient.

Dates / Employer’s Name, Address, Nature of Business and Telephone No. / Positions Held & Full Statement of Duties / Reason for Leaving
From / To

Section 4: Leisure Interests etc.

Please give details of membership of any clubs, societies, associations, etc., including offices held at present, or in the past.

Were you a member of the Defence Forces, Civil Defence, Red Cross Society, Order of Malta, St. John’s Ambulance Brigade, The Boy Scouts or any similar Organisation?

List any other interests and hobbies, distinguishing those in which you are active.

Section 5: Additional Information

Applications from people with disabilities are welcome and information about disability is only requested on the application form in order that appropriate arrangements for an interview can be made if necessary.

Do you consider that you have a disability? (Yes/No)
Are you registered with any organisation for the disabled? (Yes/No)

If you consider that you have a disability please give details of any requirements for interview arrangements e.g. sign language.

Have you any objection to the Council contacting your present employers? (Yes/No)
Have you any objection to the Council contacting your previous employers? (Yes/No)

Section 5 contd.

Do you hold a current safe pass registration card? (Yes/No)
If Yes, what is the Expiry Date of Safe Pass:
Do you hold a Manual Handling Certificate? (Yes/No)
If Yes, what date was Certificate received:
If successful, when could you take up duty?

Any additional information you wish to give in support of your application.

Please state how you became aware of this vacancy:

Irish Examiner / Other Newspaper (please specify) / Cork County Website / Other Website: (please specify) / Other
(please specify)

N.B. Misrepresentation of, or failure to declare, any material fact will invalidate your application and any job offer made as a result of same.

I confirm that I have read and comply with the criteria as laid out on the covering page to this application form. I also understand that the application form will be deemed invalid if I don’t comply with the criteria and will NOT be processed further for this competition.

The information furnished in this application form is correct.

SIGNATURE: / DATE:

1. The original form accompanied by three copies must be submitted (4 in total).

2. Each application form must be signed and dated by the applicant.

3. Please ensure to submit your Birth Certificate.

Candidates should retain a copy of this form for their personal reference.