/ PRIVATE AND CONFIDENTIAL EP1
APPLICATION FORM – Contract for Services

Reference number:

Position:

Subject: Level:

·  Closing date: 12 noon on Monday 14 November 2016

·  Please ensure you complete all sections

·  Applications can be returned to , or returned in an envelope marked PRIVATE AND CONFIDENTIAL and addressed to People Services and Equality, CCEA, Clarendon Road, Belfast BT1 3BG

Personal Details (must be completed by all applicants)

Title: (Dr/Mr/Mrs/etc) Surname:

Forename(s):


Home address:

Business address:

Email address*:

*PLEASE NOTE THAT WE MAY CORRESPOND WITH YOU BY EMAIL. YOU ARE ADVISED TO PROVIDE A PERSONAL EMAIL ADDRESS THAT YOU CAN ACCESS REGULARLY

Are there any reasonable adjustments we may need to know in order to ensure you are treated fairly throughout the application process (if required), eg car parking facilities, access facilities.

Criteria

Applicants are asked to complete the following section in full. Where academic qualifications, or information about subjects taught are required applicants must provide full details, including level, subject and grade.

We shortlist only on the information provided in this section. Please ensure you provide a comprehensive account of how you meet each criteria giving dates, examples and any other details as appropriate.

Essential Criteria (must be completed by all applicants)

Please provide details and examples of:

A relevant** qualification as deemed appropriate by CCEA
**Ideally a relevant qualification will be a degree in Chemistry, Geography, Physics, Technology and design or Environmental Technology/Sustainable and Renewable Technology

Please provide details and examples of:

Relevant experience teaching an Environmental Technology / Sustainable and Renewable Technology related qualification.
Or
Industry experience as deemed appropriate by CCEA

Please provide details and examples of:

Experience of preparing/writing educational materials

Please provide details and examples of:

Ability to show attention to detail

Please provide details and examples of:

Excellent interpersonal skills (the skills a person uses to communicate and interact with others. They include persuasion, listening, delegation, and leadership)
Reference

Please give the name, address, occupation and email address of one responsible person (not related to you) to whom reference will be sought. The referee should be your current or previous line manager (permission should be sought prior to application).

Name:
Address:
Occupation:
Contact telephone number:
Email address*:

*Must be completed

Approval to apply

For all Senior Examining and Moderating posts there may be occasions where you must attend CCEA meetings/training/events etc during working hours. CCEA therefore requires all applicants to have gained approval from the Head of Department and/or Principal to apply for any contract.

I confirm that I have obtained approval to apply for this contract Yes N/A

Child Protection

All persons contracted into a regulated position as defined under the Safeguarding of Vulnerable Groups (NI) Order 2007, will be required to undergo an AccessNI check. A Risk Assessment will identify if this is a requirement and applicants will be notified before a contract is offered.

Data Protection

The information provided by you on this form will only be used for the processing of your application and possible future employment. We will only share thisinformation with a third party if there is a legal or regulatory requirement to do so. We will take completion of this form as consent .

Declaration by applicant

The foregoing particulars are complete and correct to the best of my knowledge and belief. I have read and understood the information which has been supplied to me. I understand that any false information given may result in a contract being terminated.

Signature: Date:

CCEA, 29 Clarendon Road, Clarendon Dock, BELFAST BT1 3BG

Tel: (028) 9026 1200

CCEA WILL NOT ACKNOWLEDGE RECEIPT OF APPLICATIONS SENT BY EMAIL OR BY POST.

It is not CCEA’s policy to pay travel expenses to any candidate

attending interview.

CCEA/FO/1843/01