RESTRICTED – APPOINTMENTS

Official Use Only
Ref No.

Notes on Completion

Before completing the application form, please read the application form guidance notes and applicant information booklet carefully.

Please complete the application form in legible block capitals and black ink or typescript. The layout should not be changed or altered in any way.

Applications will be acknowledged within 3 working days of receipt. If receipt is not acknowledged, please call the department on 02890 256023.

The closing date for applications is 12 noon on Friday 5February 2016. Late applications will not be accepted.

Please complete the Equal Opportunities Monitoring Form included in the application pack. This will be detached from your application and will not be seen by the selection panel or form part of the selection process.

If you require the application form in a different format, please contact the Public Appointments team using the details provided below.

Please return your completed and signed application by hand, post or email to:

Public Appointments Team
Department of the Environment
8th Floor, Goodwood House
44-58 May Street
Town Parks
BELFAST
BT1 4NN
Email:
  1. PLEASE INDICATE BELOW THE MEMBER POST YOU WISH TO APPLY FOR(PLEASE TICK ONE OR BOTH):

HISTORIC BUILDINGS COUNCIL / HISTORIC MONUMENTS COUNCIL

2. PERSONAL DETAILS

Title
Surname
Forename(s)
Address:
Postcode:
Mobile No:
Landline No:
E-mail Address:

RESTRICTED – APPOINTMENTS

3. HOW WERE YOU MADE AWARE OF THIS OPPORTUNITY?

Newspaper or journalWord of Mouth

SeminarOther

Letter from the DepartmentPlease specify

Internet

4. INTERVIEW ARRANGEMENTS

Please let us know if you require any reasonable adjustments or arrangements to enable you to attend interview or take up an offer of appointment.

5. SKILLS, KNOWLEDGE AND EXPERIENCE

The remainder of the application form provides an opportunity for you to demonstrate that you have the skills, knowledge and experience set out in the Role and Person Specification document. Address each of the criteria in turn, using specific examples to support your statements.

This is a very important part of your application. The selectionpanel will not make assumptions as to the skills, knowledge and experience you may have gained and will not consider an application if all the relevant essential criteria have not been completed.

If you are applying for the member of the Historic Buildings Council, please complete sections A-F.

If you are applying for the member of the Historic Monuments Council, please complete sections A-Dand section G and H.

If you are applying for both positions, please complete all sections of the application form.

Please use no more than the specified word limit under each criterion. Any information you provide beyond this will not be taken into consideration by the selection panel.

(A)Communication and influencing skills
Please demonstrate by way of a practical example (or examples) your ability to use your communication and interpersonal skills to influence others and deliver results.
(Maximum 400 words)
(B) Analytical ability and decision making skills
Please demonstrate by way of a practical example (or examples) your ability to analyse complex information from a variety of sources and make a decision based on that analysis.(Maximum 400 words)
(C) Teamwork
Please demonstrate by way of a practical example (or examples) your ability to work as part of a team. Your example should outline your role and the results of your actions.
(Maximum 400 words)
(D) Ability to contribute to the Council’s key objectives
Please demonstrate by way of a practical example (or examples) your ability to make a contribution to an organisation’s key strategic objectives.
(Maximum 400 words)
(E) HISTORIC BUILDINGS COUNCIL ONLY - Demonstrable knowledge andactive interest in Historic Buildings.
Please demonstrate by way of a practical example (or examples) evidence of your:
a)Knowledge and active interest in historic buildings and their setting; and
b)Commitment to the promotion of their preservation, conservation and investigation, to contribute to communities and/or the economy.
(Maximum 400 words)
(F)HISTORIC BUILDINGS COUNCIL ONLY –Demonstrable relevantpractical experience.
Please demonstrate by way of a practical example (or examples) evidence of your relevant practical experience in one or more of the following areas; architecture; architectural conservation; heritage management; local history; industrial heritage; vernacular buildings; education; legislation; spatial planning; quantity surveying; structural engineering; media and marketing; tourism; or other relevant experience.
(Maximum 400 words)
(G)HISTORIC MONUMENTS COUNCIL ONLY -Demonstrable knowledge andactive interest in Historic Monuments.
Please demonstrate by way of a practical example (or examples) evidence of your:
a)Knowledge and active interest in historical monuments and their setting and/or archaeological objects; and
b)Commitment to the promotion of their preservation, conservation and investigation to contribute to communities and/or the economy.
(Maximum 400 words)
(H)HISTORIC MONUMENTS COUNCIL ONLY–Demonstrable relevantpractical experience.
Please demonstrate by way of a practical example (or examples) evidence of your relevant practical experience in one or more of the following areas;
archaeology; industrial archaeology; maritime archaeology; historic landscapes; education; museums; heritage management; spatial planning; agriculture; legislation; tourism; media and marketing; or other relevant experience.
(Maximum 400 words)

6. CONDUCT AND CONFLICTS OF INTEREST

Before you complete this section, it is important that you read paragraphs 10 – 12 and the leaflet from the Commissioner for Public Appointments Northern Ireland in the accompanying application pack.

Ministers expect that the conduct of those they appoint to serve on the Boards of public bodies will be above reproach. Briefly outline how you might demonstrate your commitment to the maintenance of high standards in public life in this role.

Have you, or your immediate family, any employment, voluntary or other interests or personal connections that might be construed as being in conflict with the appointment for which you have applied?

Yes / No

Are there any probity issues which might cause embarrassment if, in the future, they are raised in public?

Yes / No

If you answered yesto either of the above questions, please provide details below.

Any potential probity issues or conflicts of interest detailed above will not prevent you from being called for interview but may, if appropriate, be explored with you at that time to establish how you would address the issue should you be successful in your application.

7. DECLARATION

A candidate found to have given false information or wilfully to have suppressed any material fact will be liable to be disqualified from the competition or have their appointment terminated.

I understand that a candidate found to have given false information or wilfully to have suppressed any material fact will be liable to either disqualification or, if appointed, to dismissal.

I have read the guidance provided in relation to probity issues and conflicts of interest and have completed that section of the application form accordingly. I understand that, if appointed, I must raise with the Department of the Environment any probity or conflict of interest issues that might arise during my term of appointment and that my failure to do so could lead to my appointment being terminated.

I have read the guidance notes and understand my responsibilities in relation to statutory disqualifications and public appointments. I declare that the information I have given in support of my application is true and complete to the best of my knowledge. I understand that, if I am appointed and the information I have provided is incorrect, or any of the statements made in this declaration are untrue, or subsequently circumstances arise at any time before the end of my term of office which would render any such statements untrue, then my tenure of office may be terminated.

Under the terms of the Data Protection Act 1998, I agree that the information given in all three sections of this application form may be processed to provide management information for recruitment and equal opportunities monitoring purposes. This may involve disclosing information to other Government Departments and anonymously in response to Assembly Questions and other enquiries. I also understand and accept that if appointed some of the information I have provided will be placed in the public domain.

Signed: Date: