Reference No Gazette/Advert Date

CONFIDENTIAL

JOB APPLICATION FORM

Monitoring Ref: FM15/

Guidance Notes for completing your application form

· Please complete all sections of this application form.

· The formatting has been set to allow you to type your response (if you so wish), however, please do not change or remove any of the sections as this will invalidate your application.

· Please use black ink or type so that the form can be easily photocopied.

· If you need to add any supplementary information, please keep this to a maximum of 300 additional words marked on a separate piece of paper identified clearly with your name, the section they refer to, and attach them to your application form. Any inclusions over the 300-word allowance will not be considered.

· The information on this form will be used to decide who should be shortlisted for interview. It is therefore in your interest to fill it in carefully and completely.

· When the form is fully complete, either forward via email to or send it in hard copy to the address below by the stated closing date.

· Do not substitute a CV for this application form, as this will not be considered.

HR Department
Northern Ireland Chamber of Commerce & Industry
4-5 Donegall Square South
Belfast
BT1 5JA
CLOSING DATE: 7 August 2015 @ 4pm
If you have any queries regarding please email

Northern Ireland Chamber of Commerce & Industry is an Equal Opportunity Employer

Please ensure that you read the Guidance Notes before completing the Application Form

Post applying for (state name) : Finance Manager

PERSONAL DETAILS

Title: / Surname:
First Names: / Known As:
Address:
Postcode: / Email Address:
Home Tel No: / Mobile No:
Daytime Tel No: / May we contact you on this number: Y / N
Please indicate any dates you are not available for interview within the next month:

Do you have access to a car during working hours? YES / NO

Do you hold a current UK Driving License? YES / NO

Do you have any current endorsements? YES / NO

If yes, please state what they are:-

CONVICTIONS

Have you ever been convicted of a criminal offence (other than a spent conviction under the terms of the Rehabilitation of Offenders Act 1974)? If yes, give details.

NB: Enhanced CRB checks will be undertaken for successful applicants in some job roles.

ASYLUM & IMMIGRATION

To assist NICC to meet the requirements of the Asylum and Immigration Act of 1996, please state your National Insurance Number:

HEALTH

How many occasions & days sickness absence have you had in the last 12 months?

Occasions: / Days:

Do you have any health issues that may affect your work? YES / NO

If yes, give details

EDUCATION & TRAINING

Place of Study / Summary of Qualifications Gained

Further/Higher Education Qualifications e.g. NVQ’s, BTEC, HND, Degree

Place of Study / Summary of Qualifications Gained

Membership of Professional Bodies

Name of Professional Body / Class/Grade

Work Related Training

Please give details of any training courses you have been on, particularly those in the last 5 years. Which one has had the most impact on the way you work and why?

Organising Body / Course Title / Subject

WORK HISTORY

You need not go back more than 10 years unless you have particular experience that is appropriate to this role. Please provide as much information as possible, starting with your current or most recent job. (You may use additional sheets if necessary)

CURRENT / MOST RECENT EMPLOYMENT

Job Title:
Date Commenced: / Date Left or Notice Required:
Salary Benefits:
Name of Employer:
Address of Employer:
Main Responsibilities :
Reason for leaving:

Please give details of your employment history in reverse chronological order for up to 10 years only. Indicate any career breaks and the reasons for them and state other full time commitments.

(You may use additional sheets if necessary)

Employers Name & Address / Job Title / Dates - From / To / Reason for Leaving

ESSENTIAL CRITERIA

Please demonstrate in this box, that you have 2 years’ experience of managing a company accounts function