Further Education / Professional Qualifications

Application Form

Please ensure that you have completed all parts to this application form, as short listing of candidates will be based only on the details given in this form. A CV or other materials supplied by you cannot be considered. Continuation sheets for relevant sections of this form will be accepted. Criteria for this post may be enhanced to facilitate shortlisting.

A candidate found to have knowingly given false information or to have wilfully suppressed any material fact will be liable to disqualification, or if appointed, to dismissal.

Please note:
Please complete in black ink or typescript.
Canvassing will disqualify. / Ref No:
Post: Strategic Information Officer
Closing date: 2.30pm Friday 11th November 2011
Surname: / Title (Mr, Mrs, Ms, Dr etc):
Forenames:
(underline name used)
Home address:
Personal Email Address:
Home Tel no: / Daytime Tel no:
Mobile Tel no: / Date of Birth:
National Insurance Number:

Education

Results in GCSE/A level (or equivalent)/secretarial exams
Subjects passed / Level / Grade / Year

Further Education / Professional Qualifications

Degree / Diploma / Certificate / Professional Qualification / Year attained / Exams to be taken

Employment History

Present Post

Name and address of employer / Date appointed / Present salary/wage / Period of notice
Department / Grade of Post
Main duties of present post

Experience

On this page list in order, beginning with the latest, any previous paid posts you have had with a brief description of the duties and dates (add page(s) if necessary)

Employer / Grade/Position / Duties (briefly) / Dates of Tenure
From / To

Relevance of Experience To this Post

Essential Criteria

Please address the essential criterion listed below, demonstrating how you meet the particular experience and qualities sought (providing relevant dates as appropriate). Draw upon all of your experience, whether at work or on a voluntary basis.

Third Level Qualification or equivalent in social policy or other relevant subject.

(Maximum of 400 words)

Essential Criteria

High level competence in Microsoft word, excel and access and experience of using social media

(minimum of 200, maximum of 400 words)

Essential Criteria

A good knowledge of the strategic policy issues facing the third sector or its leaders in Northern Ireland, including the strategic relationship with government departments and the operating context for the sector.(Minimum 200 words maximum of 400 words)

Essential Criteria

At least 2 years experience in a senior policy or information role working within a Public, Private or Voluntary sector organisation.(Minimum 200 words maximum of 400 words)

Essential Criteria

At least 2 years experience of contributing policy comment, information reports and public affairs support within a Public, Private or Voluntary sector organisation..(Minimum 200 words maximum of 400 words)

Essential Criteria

Capacity to manage a range of competing priorities and work under tight deadlines; Ability to work under pressure; Empathy and understanding of CO3 membership requirements.(Minimum 200 words maximum of 400 words)

Essential Criteria

Continuous professional and ethical behaviour(Minimum 200 words maximum of 400 words)

Essential Criteria

Ability to work in a small, mutually supportive professional environment

(Minimum 200 words maximum of 400 words)

Essential Criteria

Please address the essential criterion listed below, demonstrating how you meet the particular experience and qualities sought (providing relevant dates as appropriate). Draw upon all of your experience, whether at work or on a voluntary basis.

Excellent communication skills, well developed interpersonal skills(Minimum 200 words maximum of 400 words)

Essential Criteria

No health problems which would affect the post holder’s ability to carry out the duties of this post.(Maximum of 400 words)

Desirable Criteria

Please address the desirable criterion listed below, demonstrating how you meet the particular experience and qualities sought (providing relevant dates as appropriate). Draw upon all of your experience, whether at work or on a voluntary basis.

Higher degree in social policy or other relevant subject.(maximum of 400 words)

Have you ever been convicted of a criminal offence which is not a spent conviction under the Rehabilitation of Offenders (Exceptions) Order (NI) 1979?
Please write “Yes” or “No” ______(Do not leave blank)
If you answered “Yes", please give full details of the offence including the nature of the conviction, dates of conviction and sentence imposed.

Referees

Please name two referees. If you are in paid employment at least one should have knowledge of your present work and be in a supervisory/managerial capacity. (Relatives should not be named as referees). These referees may be approached if you are short listed for interview, unless you specify otherwise.

1. / Name: / 2. / Name:
Designation/
Occupation: / Designation/
Occupation:
Address: / Address:
Tel. No: / Tel. No:
/ Contact: Yes No / Contact: Yes No

I declare that all the foregoing statements are true and complete to the best of my knowledge and belief.

Signature:______Date:______

Please return completed form by Friday11 November2011 2:30pm (date of closing) to:

The Corporate Services Manager

CO3

34 Shaftesbury Square

Belfast

BT2 7DB

(Applications cannot be received by Fax or Email)

MONITORING QUESTIONNAIRE

CO3 is committed to providing equality of opportunity for all job applicants. To ensure that our equal opportunities policy is being implemented effectively, the organisation monitors all applicants. It would be appreciated if you would complete the following questionnaire by ticking the appropriate box. The information you give will be treated in the strictest confidence and will not be used for any purpose other than monitoring the CO3 equal opportunities policy.

1.My gender is

MaleFemale

2.The organisation regards a disabled person as someone with a physical or mental impairment which has a substantial or long-term adverse effect on their ability to carry out normal day-to-day activities.Having read this definition, do you consider that you are perceived to have a disability?

YesNo

3.How would you describe your racial group?

BangladeshiPakistani

Black AfricanWhite

Black CaribbeanMixed ethnic group

ChineseOther

(please specify)

Indian

Irish traveller

4. Perceived Religious Affiliation

I am a member of the Protestant community

I am a member of the Catholic community

I am a member of neither the Protestant nor the Catholic community

Please specify______

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