YMCA/YWCA Mpower (Peace IV) Posts

YMCA/YWCA Ireland APPLICATION FORM

YMCA/YWCA MPower (Peace IV) Posts

APPLICANT REF. NO

APPLICATION FOR THE POST OF:

Please tick which position you are applying for

M Power Project Coordinator (F/T) based in Belfast YMCA

M Power Ass. Project Coordinator (20 hours - P/T) Belfast YMCA

M Power Outdoor Learning and Activity Coordinator (F/T) based in Greenhill YMCA

M Power Project Workers (F/T) various locations

(please circle your preferred location if applying for a Youth Worker post)

Londonderry, Belfast, Larne/Carrick, North Down, Lisburn, Lurgan/Portadown, Newcastle or Monaghan YWCA.

M Power Administration Officer based in Belfast YMCA

Please complete this application form fully and accurately - minimum size 10 font.

ALL DETAILS MUST BE COMPLETED ON THE APPLICATION FORM. If there is insufficient space for your answer, continue on a separate sheet.

When completed, this form, together with the Declaration of Criminal Convictions and Equal Opportunities Monitoring Form, should be emailed to Noelle at to arrive no later than Friday 24th November, 2017 at 12 noon

PERSONAL INFORMATION

Surname:First Names:

Address:

Postcode:

Date of Birth:

Contact Details: (Please tick preferred method of contact and list phone numbers)

Telephone (Include Code): Home: Business:

 Mobile: Email:

Application Process

How much notice are you required to give your present employer?

Are there any adjustments that may be required to facilitate your attendance should you be invited for interview?

Do you require a Work Permit to enter employment within the European Union?

 Yes: No:

References

Please provide the names of two people who can provide a reference – one of whom should preferably be your present / most recent employer:

Name:Name:

Address:Address:

Tel No;Tel No:

Email:Email:

Occupation / Job Title:Occupation / Job Title:

 I give permission to take up this reference I give permission to take up this reference

prior to an offer of employment being made.prior to an offer of employment being made

EDUCATION AND EMPLOYMENT HISTORY

Education and Training

Secondary Schools

Examinations Taken / Grades Achieved

Further and Higher Education

Name of College / Subjects Studied / Subjects Passed and Grades

Training – Professional or Vocational

Name of Course Studied / College/Company / Qualification Gained

Employment Record - voluntary and paid posts

Please give details of all posts held (paid and unpaid) since leaving full-time education, giving the most recent first. Please give reasons for any gaps in employment. (Continue on a separate sheet if necessary)

Dates :
To - / From - / Employer / Title and details of post / Reason for Leaving

Competency

Relevant Experience, Skills, Knowledge and Personal Qualities

ESSENTIAL CRITERIA

Please refer to the Person Specification when completing this part of the application form. In this section you are asked to outline how your experience, knowledge, skills and qualities meet the competencies required for this role (as outlined in the Person Specification). Please use examples from your experience, including details of the skills and experience you have gained through paid employment and other activities outside work that are relevant to your application for this post.

Please outline your experience and how it relates to this post ( max 500 words)

Please outline your knowledge and skills in relation to those stated in the Person Specification: ( Max 500 words)

Please outline your personal qualities in relation to those stated in the Person Specification: ( Max 500 words)

Any other relevant information you would like to provide as reasons for applying for this position. ( Max 500 words)

DECLARATION

NOTEThe employer reserves the right to interview only candidates who meet the specified criteria. Short-listing will be based only on the information supplied by the candidate on this application form.

WARNINGAn employee found to have knowingly given false or inaccurate information, or to have wilfully failed to disclose any relevant fact, will be dismissed.

Signed: ______Date: ______

Please ensure that you also complete and sign the Declaration of Criminal Convictions on the next page.

DECLARATION OF CRIMINAL CONVICTIONS

The nature of the job for which you are applying will bring you into direct contact with children and young people, either as service users in their own right or the children of service users. IT is also considered to be a Regulated Position

Is there any reason why you cannot work in a regulated position with young people?

Please circle -YesNo

Accordingly this post is exempt from the provisions of the Rehabilitation of Offenders Act 1974. Therefore you are required to disclose information about all criminal convictions, both current and spent. YMCA Ireland have a policy on the Recruitment of Ex Offenders which is available on request or which can be found on our website -

Declaration of a conviction will not necessarily mean disqualification from appointment. However, if it is subsequently found that you failed to declare a conviction, this will be regarded as gross misconduct, which could lead to your employment being terminated.

This post involves *‘regulated activity’ under the Safeguarding Vulnerable Groups (NI) Order 2007, therefore if your application is successful,YMCA Ireland will be required to undertake an Enhanced Disclosure of Criminal Background.

The information you provide will be used solely for the purposes of this recruitment exercise and will be used for no other purpose.

Name:

Post (s) applied for:

Please give details, including date, offence and sentence of all criminal convictions [spent and unspent] below:

If none, please write none and sign and date

Signed

Date