Station Manager Application

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Section 1 – Personal and Contact Details – Applicant to complete

First name(s): / Last Name:
Station/Department:
/ Work Telephone:
Mobile:
Workplace Address: / Correspondence Address (if different):
Postcode: / Postcode:
Work Email: / Private Email:
Current Role: Station Manager Watch Manager Crew Manager
Temporary Permanent
Current Work Location:

Section 2 – Self Declaration of Eligibility for Promotion

Please consider the following questions andindicate ‘Yes’ or ‘No’ as appropriate in the check boxes regarding your eligibility for promotion. It is important that you read the guidance prior to completing this section.

Question 1

Have you gained your Institute of Fire Engineers Qualification Level 4 Certificate (4papers)?

Yes No

Or

Question 2

Have you gained a Fire Related Degree and gained the IFE Level 4 paper in Operations and Incident Command?

Yes No

Question 3
Have you completed and gained a competentrating against the required operational assessments prior to completing this form?

Yes No

Question 4

Is your personal record free from live misconduct/disciplinary sanctions?

Yes No

Question 5

Does your attendance record meet the Cheshire Fire and Rescue attendance criteria?

Yes No

Question 6

Have you completed specialist fire safety qualifications?

Yes No

If yes, please provide details below:

Dates / Qualification attained / Grade

Question 7

Do you have experience as a specialist fire safety inspecting officer?

Yes No

If yes, please provide details below:

Experience

If a ‘No’ is shown in any of the boxes above (with the exception of Q6 & 7), you would not normally be eligible to participate in the selection process. However, if you believe you have extenuating circumstances which you wish to be taken into account, please complete the box below.

Rationale

Question 8

Are you currently under formal investigation that may result in a disciplinary process or sanction?

Yes No

Please note that a ’YES’ to the above question will not automatically preclude you from participating in the selection process, but your application may be subject to further review prior to the conclusion of the Promotion Assessment Process.

Section 3 – Assessment of Potential

In this section you are asked to provide examples of your performance against the role map of a Station Manager.

Although it is not expected that you are currently performing at the level of Station Manager, the evidence that you provide will be evaluated to identify your suitability to be promoted into the role.

Please consider your answers carefully, and make reference to the PQA’s contained within the role map. These can be found on the intranet. A maximum of 200 words should be used for each answer.Once you have entered your response please insert the total word count at the end of each question.

Please note the competencies’ may vary.

Q1. Please give one or more examples of your ability to demonstrate competency
in the area of Commitment to Development. You are advised to refer to the
Station Manager Role Map.
# Words
Q2. Please give one or more examples of your ability to demonstrate competency
in the area of Working with Others. You are advised to refer to the Station
Manager Role Map.
# Words
Q3. Please give one or more examples of your ability to demonstrate competency
in the area of Commitment to Excellence. You are advised to refer to the Station Manager Role Map.
# Words
Q4. Please give one or more examples of your ability to demonstrate competency
in the area of Confidence and Resilience. You are advised to refer to the Station Manager Role Map.
# Words

Section 4 – Group Manager/Station ManagerComment/Endorsement

In this section the Grandparent Manager should give their rationale for endorsing or not endorsing the application. They should provide their professional judgement of the evidence contained within this application and refer to any other evidence they have about the applicant’s performance. This should include appraisal ratings, and any other evidence that assists with an objective judgement.

Assessment of Evidence within Competency Based Questions
Question / Comment
Q1
Q2
Q3
Q4
Assessment of Performance in Current Role and Readiness for Promotion

Taking account of all the evidence provided, I can confirm that the applicant is eligible to apply for promotion assessment.

Yes No

I believe that the applicant has clearly and consistently demonstrated the ability, desire and commitment to be promoted to the role of Station Manager.

Yes No

Last Appraisal Rating
Decision of Group Manager
I have reviewed and evaluated all the available evidence and based on this I
Do not Do
consider the applicant is suitable/ready consider the applicant is suitable/ready
Rationale for Not Supporting Application for Promotion
Details of Officer completing Section 4
Signed:
Name:
Department:
Telephone Number

Section 7

Declaration

CONFIDENTIAL

I DECLARE THAT THE INFORMATION GIVEN IN THIS APPLICATION IS TO THE BEST OF MY KNOWLEDGE CORRECT. I UNDERSTAND THAT CANVASSING, EITHER DIRECTLY OR INDIRECTLY, OF ANY COUNCILLOR OR EMPLOYEE OF CHESHIRE FIRE AND RESCUE SERVICE OR THE GIVING OF FALSE OR MISLEADING INFORMATION MAY LEAD TO DISQUALIFICATION AND IF APPOINTED, MAY LEAD TO DISMISSAL.

FURTHERMORE, I UNDERSTAND THAT THE INFORMATION WILL ONLY BE USED FOR RECRUITMENT AND SELECTION PURPOSES AND THAT IT WILL ONLY BE KEPT ON FILE BY CHESHIRE FIRE AND RESCUE SERVICE FOR 1 YEAR THEREAFTER. HOWEVER, IF I AM APPOINTED TO THE POST THEN THE INFORMATION THAT IT CONTAINS WILL BE USED TO FORM PART OF MY PERSONAL FILE FOR EMPLOYMENT PURPOSES (EXCEPT FOR DISCLOSURE INFORMATION, IF APPLICABLE, WHICH WILL ONLY BE KEPT FOR 6 MONTHS).

Signed:
Printed:
Date:
If you return this form by email (without signature) print name in place of signature and you are deemed to have accepted the above declaration.

Section 8

Equal Opportunities Form

CONFIDENTIAL

Cheshire Fire & Rescue Service aims to provide equal opportunities and fair treatment for all people and is determined to ensure that no applicant, employee or volunteer:
  • receives less favourable treatment on the grounds of sex or marital status, sexual orientation, colour, race, nationality, ethnic or national origins.
To help monitor the effectiveness of our recruitment policy, Cheshire Fire and Rescue Service would be grateful if you would complete the following:
Please X the appropriate boxes.
I am: Female Male
Is your gender identity the same as the gender you were assigned at birth?
Yes No
If you answered No to the previous question, Do you live and work full time in the gender role opposite to the one assigned at birth?
Yes No
Age: 17-24 25-35 36-45 46-55 56-65 66+
Marital Status: Single Civil Partnership Married Divorced/Separated
living together
Nationality
Are you a UK citizen? YES NO
Are you an EU citizen? YES NO
If “yes”, from which country:
If “no”, to all the above, what visa do you hold and when does this expire:
National Insurance Number:
Sexual Orientation
Are you:
Bisexual
Gay/Lesbian / Heterosexual/ straight
Decline to state
Ethnicity - I would describe my ethnic origin as:
White
British
Irish / Any other White background
Mixed
White and Black Caribbean
White and Black African / White and Asian
Any other mixed background
Asian or Asian British
Indian
Pakistani / Bangladeshi
Any other Asian Background
Black or Black British
Caribbean
African / Any other Black background
Chinese or other Ethnic Group
Chinese / Other Ethnic Group
Other (please provide details)
Gypsy and Traveller
Romany/Roma Gypsy
Other / Irish Traveller
Other (please provide details)
Religious Belief/Faith
Are you:
Buddhist
Christian
Hindu
Jewish
Muslim / Sikh
Other
None
Decline to state
Where did you find out about this vacancy? (Please tick one box)
From a current Fire Service employee
The Fire Service website
Cheshire Fire & Rescue Service Green Bulletin/ Intranet
Step Into Work Programme
Job Centre (please state branch name/location)
Newspaper/other publication (please state name)
Other (please give details)
Equality Act 2010
In accordance with the Equality Act 2010 we are asking the question at the bottom of this page to ensure that all applicants who are disabled receive the appropriate support and reasonable adjustments and to monitor all aspects of our recruitment process.
Below are the 4 definitions of someone who is classed a disabled under the Act.
  1. A disabled person is someone who has a physical or mental impairment.
Physical impairment includes hearing and visual impairments and conditions such as diabetes, dyslexia, severe disfigurement, heart conditions and epilepsy. It also includes anyone who has an impairment which is likely to develop over time such as cancer, multiple sclerosis, or someone living with HIV or AIDS.
Mental impairment includes learning disabilities and mental illnesses.
People whose impairments are controlled, corrected or adjusted by medication or appliances are covered by the DDA, as are those who have had a disability in the past but have since recovered.
  1. The impairment has got to last, or be expected to last, at least 12 months.
  • a person with a broken leg who is only temporarily disabled would not be covered.
  • a person who has had an impairment, which may happen again, is covered.
  1. The impairment must have a substantial and long term adverse effect. This may be obvious in the time it takes someone to carry out a task or in the way he/she carries out the task.
  1. The impairment must affect the person’s ability to carry out normal day-to-day
activities. These include mobility; manual dexterity; physical co-ordination;
continence; ability to lift or carry objects; speech, hearing or sight; memory or ability to concentrate, learn or understand.
Do you consider yourself to be disabled as defined above? YES NO
REHABILITATION OF OFFENDERS ACT 1974
The job you are applying for is exempt from the provisions of section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (exceptions) order 1975. Applicants are asked to declare if they have any criminal convictions, including spent convictions, cautions or reprimands. In the event of an offer of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by Cheshire Fire and Rescue Service. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies.
Have you been convicted of any criminal offence? YES NO
If yes, please give details of offence, including date and sentence.
An Enhanced Disclosure and Barring Service Check will be carried out on some successful applicants where applicable to the role. Any offer of employment will be subject to satisfactory receipt of this and an offer may be withdrawn if this requirement is not met.
Other Information
Are you related to any elected member, or an employee of Cheshire Fire Authority? If so, please give details.
Cheshire Fire and Rescue Service is committed to equality of opportunity. All applications will be considered on their merits and selection will be made solely on the basis of the suitability of applicants when assessed against job related criteria.

Submission of applications

Please emailyour completed form to by 5.00pm on Wednesday 24th May 2017

Note; Any applications received after the closing date will not be considered.

Please note it is the responsibility of the applicant to plan accordingly and ensure that the form is submitted on time with all of the necessary management endorsement sections completed.

Incomplete applications will not be considered within the selection process