Application Form
An Equal Opportunities Employer
Applications for this post will only be accepted on this form
POST:Development Officer (Museums and Collections)
GRADE:Staff Officer £28,500 - £31,135
CLOSING DATE:12.00pm (noon) Monday 4th July 2016
You must submit your completed application to:
Recruitment, Northern Ireland Museums Council, 153, Bangor Road, Holywood, Co Down BT18 0EU
Applications must be submitted in hard copy form only.
Late applications will not be considered.
Surname / Previous Surname (if appropriate)First Name / Date of Birth / Place of Birth
Home Address
Postcode / Home Telephone Number
Email address
Address for Correspondence (if different from above)
National Insurance Number
(complete below) / Daytime Telephone Number
Mobile Phone Number
Nationality (Please tick)
EU
Non-EU
If non-EU, please specify:
EDUCATION/PROFESSIONAL QUALIFICATIONS
Degree/Diploma/Certificate / Year Obtained / Exams to be takenMEMBERSHIP OF PROFESSIONAL/TECHNICAL BODY
Name of Body / Date of Membership / Status / Expiry DateEMPLOYMENT HISTORY
Present Post
Name and address of present employer / Date appointed / Present wage/salaryTitle & Grade of post / Period of notice
Department/Work Location
Principal duties of present post. Please continue on a separate sheet if necessary
EXPERIENCE
Please list your previous posts including periods of unemployment and apprenticeships served. Begin with the most recent.
Employer & Address / Grade or position / Duties (briefly) / Dates of EmploymentFrom / To
DD MM YY / DD MM YY
Northern Ireland Museums Council
APPLICATION FORM – Essential and Desirable Criteria
Development Officer (Museums and Collections)
Applicants must complete this part of the application form stating how, and to what extent they meet the essential and desirable requirements and other criteria, if applicable, set out in the job description and personnel specification.
It is important that applicants demonstrate how they satisfy the full requirements of the post as NIMC will interview only those candidates who appear from the information available to have the best knowledge, skills and experience associated with the duties for the post.
If additional space is needed for any section, continue on a separate sheet, and note any additional sheets with your name and the title of the post for which you are applying.
______
Please give details of at least two years’ working experiencein museum and/or collections related work gained within the last 5 years. If you have at least three years’ experience, please provide details.
Do you have an honours degree, or equivalent, in a relevant subject?
YESNO
Please provide details of the qualification
______
______
______
______
Do you have a post- graduate qualification in a discipline related to museum or heritage studies?
YESNO
Please provide details of the qualification
______
______
______
Do you have access to transport?
YESNO
Are you willing to travel to meet the needs of the post?
YESNO
Please illustrate your understanding of current museum policy matters, professional practice and standards, together with the associated issues.
______
The post requires you to have excellent organisational skills, the ability to work on your own initiative and be pro-active in your approach to achieving goals. How do you meet this requirement?
Please demonstrate that you are information technology literate.
Please provide the contact details of two individuals from whom NIMC may seek references. References will only be sought in the event of you being offered the position.
Name:______
Address:______
______
Tel:______e-mail:______
Name:______
Address:______
______
Tel:______e-mail:______
PERSONAL DECLARATION
I declare that the information on this form is true and complete. I understand that any wilful misstatement or omission renders me liable to disqualification or dismissal if engaged.
I also understand that the appointment is subject to receipt of satisfactory references.
I confirm that to the best of my knowledge there are no medical reasons which would prevent me from undertaking the duties of this post.
Name: ______
Signature:______Date:______
PLEASE COMPLETE THE FOLLOWING CONFIDENTIAL SECTIONS AND RETURN WITH YOUR APPLICATION FORM (PLEASE DO NOT DETACH)
MEDICAL HISTORY
Please give details and approximate dates of any periods of sickness during the past two years.
Reason for sickness / Length of absence from work / Dates: To FromDISABILITY DISCRIMINATION ACT
With the introduction of the Disability Discrimination Act 1995, it is necessary for NIMC to take reasonable steps to identify if it is necessary to make reasonable adjustments to workplace arrangements or features which have an adverse effect on disabled applications and employees. Therefore you are requested to complete the questions contained below.
- Do you have or have you had a disability which you consider to be relevant to the post for which you have applied?
Yes No
- If you have answered yes to the above, do you have any particular arrangements to be made for you to attend for interview?
Yes No
You may wish to contact NIMC prior to interview to discuss in greater detail your requirements.
If you have indicated that you have a disability, which in your view, may require NIMC to make reasonable adjustments, adaptations or to provide aids to assist you in carrying out the duties of the post for which you have applied, please outline below your disability and the adverse effect it may have on your ability to carry out the duties of the post.
Disability is defined as:
A physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities
CRIMINAL CHECK FORM
Failure to complete this section could prevent further consideration of your application
Declaration
(a)Have you ever been convicted of a criminal offence?
Yes No
(b)Are you currently being investigated by the Police or have you had a summons issued against you or any charge brought against you in respect of any offence which has not yet been disposed of?
Yes No
(c)Please note that posts that will involve substantial access to children, the successful applicant will be subject to a criminal record check with Police and AccessNI.
(d)For posts not covered by (c) above normal checks may be made via the Police Criminal Records Office
I ______hereby consent to the above checks being undertaken by NIMC if NIMC deems it necessary and with regard to the duties of the post applied for.
SIGNED ______DATE ______
If you have not lived at your present address for the past 5 years, please state any previous address/addresses
ADDRESSADDRESSADDRESS
______
______
______
______
EQUALITY MONITORING FORM
This Equality Monitoring Form is a voluntary form which assists the Northern Ireland Museums Council in fulfilling our Equal Opportunities Policy.
The Northern Ireland Museums Council is committed to promoting equality and diversity. It is our policy to provide employment equality for all, irrespective of gender, marital status, having or not having dependants, religious belief or political opinion, race, disability, sexual orientation and age.
We are opposed to all forms of unlawful and unfair discrimination. All job applicants, employees and others who work for us will be treated fairly and will not be discriminated against. As an equal opportunities employer we want to ensure that all our applicants, employees, and Board members enjoy equality of opportunity. We also want to encourage the best people to apply for vacancies regardless of their background.
The information provided on the monitoring questionnaire will only be made available to the monitoring officer. If you provide us with information in respect of a disability we will use this information to meet our legal obligation to make reasonable adjustments. If we make Equality Monitoring information public, this will be done in a way that ensures anonymity.
To ensure confidentiality, this questionnaire will be given a unique reference number and only the monitoring officer will be able to match this number with your name. Your name should not be written on the questionnaire. The monitoring information collected will be used to measure the effectiveness of our equal opportunities policy and will assist us to develop and review the policy.
The Northern Ireland Museums Council is committed to updating relevant monitoring information every three years. This is because we recognise that individuals may for example, acquire disabilities, change their marital status etc. If the monitoring information you provide us with changes please let us know.
If you have any queries regarding this questionnaire please contact:
Chris Bailey, Director, NIMC, 153, Bangor Road, Holywood, Co Down BT18 0EU Email: / tel 028 90550215.
EQUALITY MONITORING
Unique Reference Number [Office Use Only]:
Community Background:
Regardless of whether we practice religion, most of us in Northern Ireland are seen as either Catholic or Protestant. Please indicate the community to which you belong or are perceived to belong to, by ticking the appropriate box below:
Protestant community
Roman Catholic community
Neither the Protestant nor Roman Catholic community
Sex:
Please indicate your sex by ticking the appropriate box below:
Male
Female
Ethnic Group:
Please indicate which Ethnic Group you belong to:
BangladeshiPakistani
Black AfricanWhite
Black CaribbeanIrish Traveller
Black OtherAny other ethnic group:
Chinese
Indian
My Nationality is:
Age:
Please provide your date of birth or tick the Age Band to which you belong:
D.O.B.-
Age Band:
16-21 22-30 31-40 41-50
51-60 61-65 65 +