Position Applied For: Services Manager

OMAGH WOMEN’S AID

Application Form Ref. No: 03/18

Position Applied For: Services Manager

Closing Date: no later than 10am on Monday 16th April 2018

Omagh Women’s Aid is an equal opportunities employer and welcomes applications from everyone from all sections of the community who meet the criteria for the post.

Please read the notes below before completing the application form:

• Complete in black ink or typescript only
• Use font no smaller than point 10
• Do not alter the formatting of the form
• Adhere to word limits where applicable

** Please note Interviews are scheduled for Tuesday 24th April 2018and candidates selected for interview will be contacted using the contact details provided in this form **

Return completed form to:

The Administrator, Omagh Women’s Aid, 9 Holmview Terrace, Omagh, BT79 0AH or email

For Official Use Only

Date Application received______

Confidential

Position applied for:Services Manager

Personal Details

Surname: / Forenames:
Preferred Title:
Home Address:
Telephone: Day Evening:
Email:
If successful, when could you take up the appointment:

References

Please give details of three people whom we may contact for a reference. References will be taken up if you aresuccessful at interview and any offer of employment made will be subject to references being satisfactory. At least 2 referees should have a working knowledge of you in a working environment, either paid or unpaid, and one must be your current/last employer. If you are a recent school/college leaver please give appropriate school/college referees.

Name / Address / Telephone / Occupation / Email Address / State your relationship with the referee

Education. Continue on another sheet if necessary

Name and address of Schools/University / Recognised Qualifications and Grades

Paid Employment

Please start with your present employment and work backwards. Continue on another sheet if necessary. Do not list work placements undertaken as part of a course of study or undertaken as part of gaining a qualification in this section.

Employers Name and address / Job Title / Full/Part-Time
No. hrs p/wk / Dates of employmentand total length of Service / Reason for leaving

Training and Skills

Please give details of any external or internal courses or training within the last five years

Date / Course Title / Length of Course

Work Placements

Please list any work placements/experience of more than six weeks duration undertaken in the last five years

Dates of placement / Name and address of Placement Organisation / Role undertaken in Placement

Information Technology (IT)

Please tell us about IT packages you have used and are proficient in (max 150 words)

Driving Ability

Do you hold a full current UK Driving Licence

Do you have access to a car

Disclosure of Convictions

1. Have you been convicted of any motor offences resulting in disqualifications?

1. Please give details of accidents within last 3 years, endorsements etc

1. Have you ever been convicted of any offence, which is not considered spent?

If the answer is ‘yes’ please give details on a separate sheet.

Medical History

Please provide details of recurring illness or medical problems for which you are receiving attention or medication.

Periods of Absence

Please give details of any illness, operation or accident resulting in an absence from work, paid or unpaid within the last 2 years.

Illness, operation or accident / Dates / No. of days absent

Please list other periods of absence and reason for absence (e.g. caring for dependents, exceptional leave, compassionate leave) within the last 2 years.

Reason for absence / Dates / No. of days absent

Voluntary Work

Do NOT include any unpaid work or learning placements here

Dates From/To / Name and Address of Organisation / Nature of Work / Hrs Per Week

Information in Support of your Application – You may use additional sheets if necessary.

Tell us about your experience of managing residential services. Tell us about the size of the projects you have managed, the staffing levels and number of units.
(max150 words)
Tell us about your experience of supporting families – the nature of the client group and your role in providing the support.
(max 150 words)
Tell us about your safeguarding experience and responsibilities.
(max 150 words)
Tell us about improvements you have made for your client group, what they were and how you introduced them.
(max 150 words)
Tell us about how you motivated your staff team and how you promoted positive working relationships within the team and with stakeholders and other agencies.
(max 150 words)
Tell us what quality assurance frameworks you are familiar with, how you monitored and improved quality standards in your organisation and how you addressed any deficits in standards
(max 150 words)
Tell us if and how you meet any of the desirable experience criteria detailed in the job specification
(max 150 words)

Declaration

I certify that all the particulars given are correct and understand that should any false statements/omissions be made on this form Omagh Women’s Aid reserves the right of dismissal. I understand that employment with Omagh Women’s Aid is subject to receipt of satisfactory references.

Signature of Applicant (Write or Type):

Date:

Please return completed form and attachments to the address given on the front page.

We aim to be FAIR Employers. We do not discriminate on the grounds of religion, martial status, disability, race or ethnic origin. We practice equality of opportunity in employment and most importantly, have a firm belief in the MERIT principle (i.e. the best person for the post)

We want to demonstrate this commitment and to do so; we need to monitor certain details of our applicants.

We are, therefore, asking you to give us extra information, which will be treated in the strictest of confidence and used for monitoring purposes only. This extra form will not be filed with your other details, as given on your application form.

We would therefore ask you to complete the form below. Thank you for your co-operation in this matter.

OMAGH WOMEN’S AID

Ref: / 03/18

SERVICES MANAGER

STRICTLY CONFIDENTIAL

SECTION A:

Please indicate the community to which you perceive yourself belonging by writing yes beside the appropriate statement below:

1. I perceive myself to be from the Protestant community

1. I perceive myself to be from the Roman Catholic community

1. I perceive myself to be from neither the Protestant nor the Roman Catholic community

SECTION C:

Date of Birth

It is not compulsory for you to answer the above questions. However I would stress that it is a criminal offence under the legislation for a person to “give false information in connection with the preparation of a monitoring return.

Job Application Form –Services Manager March 20181