WICKLOW COUNTY COUNCIL - APPLICATION FORM

ComhairleChontae Chill Mhantain - FoirmIarratais


Telephone Fax No. email:

(0404) 20100 (0404) 67792

(0404) 20112

FOUR APPLICATION FORMS (one original and three copies)when completed, should be returned to the Director of Services, Enterprise & Corporate Services, Wicklow County Council, County Buildings, Wicklow, not later than 12.00 noon onTHURSDAY 19TH APRIL, 2018(Completed Application Forms should be forwarded in sufficient time in order to ensure receipt by this deadline).

APPOINTMENT

NAME IN FULL

(Block letters) ______

POSTAL ADDRESS ______

(Block letters) ______

______

NOTIFY AT ONCE IN

WRITING ANY CHANGE______

______

Telephone Nos. HOME ______WORK ______

MOBILE ______email ADDRESS:______

Do you claim to fulfil all the requirements set out in the Qualifications for the office? YES/NO

Please ensure that you have supplied sufficient information to support this claim

Persons who are ineligible but nevertheless apply, put themselves to unnecessary expense.

REFERENCES: Give name, address and occupation of two responsible persons (not relatives) to whom you are personally known.

1.______2.______

______

______

Occupation ______Occupation______

WICKLOW COUNTY COUNCIL IS AN EQUAL OPPORTUNITY EMPLOYER

Are you now, or have you been within the past twelve months, an elected member (Councillor) of a Local Authority or a Harbour Authority. YES/NO

If YES please state Name of Local Authority ______

Period of Membership From: ______To: ______

WicklowCounty Council welcomes applications from disabled people and information about disability is only requested on the application form in order that appropriate arrangements for an interview can be made, if necessary.

Do you consider yourself disabled? ______

Are you registered disabled? ______

If you consider yourself disabled, please give details of any requirements for interview arrangements:

______

GENERAL EDUCATION

School or College Attended PeriodExamination Results

Are you in receipt of a Superannuation Allowance in respect of an office or employment under a local authority or a harbour authority? If YES, give particulars of pension, office/employment, grounds and date upon which it was granted.

______

ACADEMIC, PROFESSIONAL OR OTHER TECHNICAL QUALIFICATIONS (IF ANY)

Qualifications obtained (e.g. Certificate, Degree). Specify level e.g. ‘Honours, ‘Pass’ and results awarded i.e. English (H) or Class of Degree (2.1) / BY WHAT BODY QUALIFICATION WAS CONFERRED / DATE OF
CERTIFICATE/
YEAR QUALIFCATION OBTAINED / MAJOR SUBJECTS TAKEN IN FINAL EXAMINATION / OTHER DETAILS
(Level 5,6,7,8 etc ___) / Course duration (Yrs/mths) ______
(Level 5,6,7,8 etc ___) / Course duration (Yrs/mths) ______
(Level 5,6,7,8 etc ___) / Course duration (Yrs/mths) ______
(Level 5,6,7,8 etc ___) / Course duration (Yrs/mths) ______
(Level 5,6,7,8 etc ___) / Course duration (Yrs/mths) ______
(Level 5,6,7,8 etc ___) / Course duration (Yrs/mths) ______

GIVE BELOW IN ORDER OF DATE, FULL PARTICULARS OF ALL EMPLOYMENT OR EXPERIENCE TO PRESENT DATE. IT IS NOT SUFFICIENT TO REFER TO A PREVIOUS APPLICATION. CARE SHOULD BE TAKEN TO INDICATE IN COLUMN 3 THE TYPE OF EXPERIENCE, ESPECIALLY EXPERIENCE AS ESSENTIAL OR DESIRABLE IN THE REGULATIONS FOR THE VACANT POSITION

Length of experience or employment. The period given should be that to which the experience or employment set out in Column 3 relates. The inclusive dates should be indicated thus: from 1.1.1999 to 1.12.2000 / Name and Address
of Employer / Type of Employment
or experience
(short description) / Salary/
Wages / Reason
for Leaving

PLEASE INDICATE ANY PARTICULAR EXPERIENCE AND/OR ACHIEVEMENTS YOU CONSIDER RELEVANT TO THIS POST

LIST ANY LEISURE INTERESTS, DISTINGUISHING THOSE IN WHICH YOU ARE ACTIVELY INVOLVED

______

______

______

.

IF APPOINTED, WHAT IS THE EARLIEST DATE YOU CAN TAKE UP DUTY?

______

NAME THE POST, IF ANY, YOU HOLD AT PRESENT AND STATE WHETHER IT IS PERMANENT OR TEMPORARY

______

I, THE UNDERSIGNED, HEREBY DELCARE, ALL THE FOREGOING PARTICULARS TO BE TRUE

SIGNATURE OF APPLICANT:______

DATE:______

In the event of my application for the post of Fire Fighter being successful,

I herby authorise as follows:

Information from the Gardai

I hereby authorise Wicklow County Council to obtain from the Gardai any information relating to me, which may be on Gardai files.

Signed:- ______Date:-______

Previous Medical History

I hereby authorise Wicklow County Council to obtain from my Dr. ______(name) at

______(address) any information in relation to my previous medical history for forwarding to the Councils Medical Examiner Dr. Nicholas Byrne, Westmount Clinic, Church Hill, Wicklow.

Signed: -______Date:______

Release by Employer

I wish to state that I have contacted my employer in relation to my application for post of Retained Firefighter with Wicklow County Council and my employer has no objection to releasing me as necessary to respond to fire callsLetter from my employer to this effect IS ATTACHED TO MY APPLICATION.

Signed: ______Date: ______

If you wish to have your application form acknowledged please enclose stamped addressed envelope.

it should be clearly noted that canvassing on behalf of candidates will lead to their disqualification from the competition

PARTICULARS OF SERVICE

PART-TIME RETAINED FIRE-FIGHTER

GENERAL QUALIFICATIONS

****************************

CHARACTER

/ Each applicant must be of good character
EDUCATION / Each candidate must have obtained a good standard in general education.
AGE / Each applicant must not be less than 18 years on the closing date for receipt of application forms.
Candidates should not be more than 55 years of age on the latest date for receipt of applications.
HEALTH / Each applicant must be free from any defect or disease which would render him / her unsuitable to hold the post and must be physically fit. Before being accepted, he / she will be required to pass a medical examination and any further medical examinations required during his / her employment with the Fire Service.

GENERAL CONDITIONS OF EMPLOYMENT

Each applicant must submit with their application form, a letter from their employer which states that he/she had no objection to releasing the applicant as necessary to respond to fire calls. The employment is part-time. The initial employment will be for a probationary period of one year. A fire-fighter will be required to retire from the service at 55 years of age.

The appointment is subject to Garda Vetting. If progressing with appointment, successful candidates will be required to attend and successfully complete a Suitability Test, a two-week Recruit Training Course and thereafter a two-week Breathing Apparatus Wearers Course.

Scheduled dates to be confirmed but will be in May/June of 2018 - a full 2 week course

PAYMENT

/ Retaining fees, drills and fire fees are paid quarterly subject to certain conditions.
DUTIES / 1. / He / she shall be available and capable at all times when required for attendance at fires or other type incidents.
2. / He / she shall operate any duty rostering or availability scheme required by the Local Authority where rostering is in place.
3. / Response time to Fire Calls shall generally be 4 to 5 minutes after the call is received.
4. / He / she will carry one of the Fire Brigade Pocket Alerters at all times and will be responsible to see that it is kept in proper working order at all times.
5. / He / she must reside and work sufficiently close to the Fire Station, to enable him / her to respond promptly to all calls. If at any time his / her availability is affected by change of work or any other reason, he / she will be required to resign.
6. / He / she will be responsible for items of personal equipment issued to him / her in connection with his / her employment.
7. / He / she will carry out all instructions issued to him / her in connection with his / her employment.
8. / He / she will attend weekly training sessions at the local fire Station, or any other training or courses, as required by the Fire Authority during their employment with the Fire Service.
9. / When required, he / she will assist or carry out the cleaning, testing or repair of equipment.
10. / He / she shall carry out further duties that may be assigned to him / her from time to time by the Local Authority.
11. / He / she will inform his / her employer that he / she is applying for the post.
12. / Each member of the Fire Brigade will be required to undergo regular medical examinations, as required by the Fire Authority. The medical examination will be carried out by a Doctor nominated by the Fire Authority, who will responsible for the payment of his fee.
13. / Absence from practices or fire calls without good reason will debar payment of retaining fee and continued absence over a six month period will incur dismissal from the Brigade.

REMUNERATION OF RETAINED FIRE-FIGHTER

INCLUSIVE ANNUAL ALLOWANCE

1stJanuary 2018

Retainer Fee: €7,817.00 (paid on a quarterly basis)

Hourly Rate of Attendance

DRILL FIRE
DAY / NIGHT/WEEK-END
Rate per hour / First Hour / Subsequent
Hour / First Hour / Subsequent
Hour
€20.62 / €41.24 / €20.62 / €82.48 / €40.84