Northern Ireland Federation of Housing Associations

Northern Ireland Federation of Housing Associations

Thank you for your interest in working at NIFHA, we look forward to receiving your completed application form and monitoring form.

APPLICATION FOR EMPLOYMENT PRIVATE & CONFIDENTIAL

Position applied for: DEPUTY CHIEF EXECUTIVE

Please complete ALL sections of the application form using black ink or 11 point Arial type.

1. PERSONAL DETAILS

Surname: ______Forenames: ______
Address: ______
______Post code:______
Email address: ______
Home tel no. ______Mobile no.______
Name and address of Next of kin: ______Tel No: ______
How many days have you been absent from work due to illness in the past year?
(excluding disability or maternityrelated absences) ______
Yes No

Do you have a current driving licence?

Do you have access to private transport?
Details of any holidays arrangements: ______
______
______
______

2. Referees

Please give the names and addresses of two persons who have agreed to act as referees. At least one referee
should be from your current or most recent employer. (References may be taken up without further notice).
1st Referee (with knowledge of your career) 2nd Referee
Name ______Name ______
Address ______Address ______
______
Occupation ______Occupation ______
Tel No. ______Tel No. ______
Email Address: ______Email Address: ______
3. HIGHER / FURTHER EDUCATION & QUALIFICATIONS
Higher / Further Education/College / DATES / Attendance Full-Time Day Release Evening etc / Exams, Degrees & Qualifications
Indicate the year, the type of exam and the subject and grade obtained
FROM / TO
A. Higher / Further education
B. Professional or Technical Training or Qualifications
4. ARE YOU A MEMBER OF ANY PROFESSIONAL BODIES? If Yes, please give details

5. WORK HISTORY:

Please give details of your full career history over the last ten years. Start with your present/most recent post. (Continue on the next page).
EMPLOYER / FROM:
DATE/
MONTH/
YEAR / TO:
DATE/
MONTH/
YEAR / POSITION – Include information about your relative position in the organisation and responsibilities exercised / Reason for Leaving

5. WORK HISTORY: Continued

EMPLOYER / FROM:
DATE/
MONTH/
YEAR / TO:
DATE/
MONTH/
YEAR / POSITION – Include information about your relative position in the organisation and responsibilities exercised / Reason for Leaving
EARNINGS (Per Annum) LAST/PRESENT EMPLOYER ______
Period of Notice Required ______
6. Please explain how you meet the criteria for this post as specified in the Person Specification. You may use 2 additional A4 continuation sheets.
Prior to appointment, the potentially successful candidate will be required to provide documentary evidence of having achieved the qualifications required for this post.
Other relevant information
Please outline any other relevant information that may, in your opinion, demonstrate your suitability for this post.
Additional Information
Is there any information, employment background or personal connections, current or past, which, if you were appointed to this post, might give rise to public speculation on your independence or your ability to undertake your duties in an impartial manner?
(please tick)
Yes No
If Yes, please give details below:
Prior to and as a condition of being offered employment the potentially successful applicant will be required to satisfactorily complete one or more of the following:-
(a)a disclosure of criminal convictions under the Rehabilitation of Offenders (NI) Order 1978
(b)an application form to Access NI
(c)a check under the Protection of Children and Vulnerable Adult (NI) Order 2003 as amended by the Safeguarding Vulnerable Groups Order 2006 and the Protection of Freedoms Act 2012 and/AND/OR
(d)any other criminal records check required by the Tara Centre in order to ensure that it complies with its obligations towards users of the service.
She/he will also be required to provide photographic identification and, if relevant, evidence of her/his right to work in Northern Ireland.
In the event of being offered employment at this Centre, I hereby commit to comply with the conditions set out above.(please tick)
Yes No
PLEASE NOTE: Canvassing directly or indirectly will result in automatic disqualification
DATA PROTECTION:
During your period of employment and for as long a period of necessary following your employment, NIFHA will hold and process both electronically and manually, the data it collects in relation to you for thepurposes of NIFHAadministration and management of its business.
RELATIONSHIP TO COMMITTEE MEMBER OR EMPLOYEE OF NIFHA
To the best of your knowledge are you related to any Council Member or Employee ofNIFHA?

If yes, what is the nature of that relationship? ______
______
Declaration
I hereby declare that the information given in this application is, to the best of my knowledge, true and correct.
I also agree that any misrepresentation by me will lead to the withdrawal of any offer of employment or my employment being terminated without any obligation or liability to NIFHA other than for services rendered.
I understand that I may be required to undergo a medical examination if considered necessary. I understand that failure to complete any part of the application procedure, including all forms, may disqualify me from further consideration for the position.
I consent to personal data being processed as stated above.

Signature: Date:

Please return completed applicationvia email to

We will acknowledge receipt of your application via email.

Closing date for applications will be Wednesday 11th October 2017 at noon

Late applications will not be accepted.