Job title: Procurement & Facilities Manager / Job reference number: CCW 28/15
Date form received:
1. Your details (if handwriting this application please complete in BLACK INK & CAPITALS)

Please inform us immediately of any changes.

Title:
First name(s):
Surname or family name:
National Insurance number:
Your address (please include the post code):
How many years have you lived there:
Home telephone number:
Daytime telephone number:
Email address (confirm that we may use this to contact you about this job):
Availability (state when not available for interview):

Please refer to the information pack for interview date

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2. Nationality and immigration

The people we employ have to meet certain nationality requirements. The following questions will help us establish your eligibility. If you are recommended for appointment, documentary evidence will be sought to confirm your answers.

Present nationality:
Nationality at birth:
Have you ever possessed any other nationality or citizenship? / Yes No
If you ticked yes, please specify:
Are you subject to immigration control? / Yes No
If you ticked yes, please specify:
Are you free to remain and to take up employment in the UK? / Yes No
3a. Education/Higher Education

Please give full details of the exams you have taken, or are about to take, starting with the most recent first. If you obtained your qualifications in another country, please give full details. Qualifications will be verified.

Exam board name / Name of exam / Level / Full title of each subject taken / Grade or mark

Please provide full details of higher, or further, education qualifications you have or are about to get, starting with the most recent first.

University, College or Polytechnic / Name of course (e.g. BA) / Course title (e.g. Economics) / Full title of each subject taken / Grade or mark
3b. Professional Qualifications

Give details of your membership of any professional body, exams taken and your performance or grade in them. You should also include dates when you gained membership and whether this is still current.

3c. Training

Give details of any non-academic certificates you have, or training that did not provide a formal qualification (in last three years) (for example First Aid, Microsoft Word or Excel)

4a. Employment and work experience

Please fill in this section to show us what you have been doing and what you consider to be most relevant in support of your application. Please include any part-time and unpaid or voluntary work you may have done. Please note that we will not contact referees unless we make you a conditional job offer.

Are you currently employed? / Yes No
If you are employed, are you a Civil Servant/Non Departmental Public Bodies employee? / Yes No
Have you ever received a payment for severance or early retirement from the Civil Service/Non Departmental Public Body? / Yes No

Current or most recent employer’s details

Employer’s name:
Position held and type of contract (for example permanent):
Address and post code of your employer:
Employer’s telephone number:
Please state what you believe have been your key work achievements:
Period of employment: / From: To:
Reason for leaving (if no longer employed):
Name of person to be contacted as a referee, include address if different from above:
Current salary:
4b. Previous employer’s details
Name of previous employer:
Position held and type of contract (for example permanent)
Address and post code of previous employer:
Previous employer’s telephone number:
Please state what you believe have been your key work achievements:
Period of employment: / From: To:
Reason(s) for leaving:
Name of person to be contacted as a referee, include address if different from above:

Please note once an offer has been made, we will not contact referees without your prior consent.

4c. Other employer’s details

Please give details of any other employers you have worked for to support your application, starting with the most recent:

Name and address of employer / Position held / Period of employment / Reason(s) for leaving
From: To:
4d. Self-employment

If you have been self-employed at any time please describe the nature of your business, the dates of its operation and reason it came to an end.

4e. School/college/university establishment details

If you are still in or have left full-time education within the last 12 months please provide the following details:

Name of latest school/ college/university:
Address and post code of education establishment:
Period of attendance: / From: To:
Name of tutor or head teacher who is familiar with your work and conduct whom we may contact for a reference:
4f. Other career history

If any period during your employment or work experience remains unaccounted for, please give full details here, including dates (for example, raising a family, periods of unemployment, voluntary work):

5a. Suitability for the post

Before completing this section, please read through the job and person specification in the Information for applicants pack. The job specification outlines the job purpose and lists the key duties. The person specification outlines the essential and desirable attributes associated with a person doing that job.

Please ensure that you complete the relevant boxes below using examples to show how you match the published essential attributes, failure to complete this will result in your application not being considered:

Essential Criteria: / Qualifications & Experience
·  In depth experience of successfully tendering and procuring contracts in either the public or private sector with knowledge of the EU procurement regulations.
·  Relevant professional qualification (CIPS or equivalent)
·  Experience of building and managing relationships with commercial suppliers, customers, and internal stakeholders.
·  Experience of working in a team or project environment.
·  Experience of researching markets, emerging trends and customer requirements.
Essential Criteria: / Technical Knowledge/Skills
·  Ability to communicate complex commercial and contractual concepts clearly and concisely, both orally and in writing.
·  Undertaking contract negotiations with suppliers in order to deliver on areas such as cost savings, quality improvements or improved delivery timescales.
·  Able to manage the delivery of multiple activities in parallel, identifying and resolving potential delivery conflicts in advance
·  Excellent IT skills in a Microsoft Windows environment or equivalent.
Desirable Criteria: / ·  Experience of designing and delivering commercial or procurement related learning and development activities.

The selection board will use the information you provide in the sections above during the interview, so we advise you make a note or copy of the answers you provide here.

5b. Reason(s) for applying

Please say why you are interested in the post and mention anything else to support your application.

6. Declaration

I declare that all the information I have given on this application form is true to the best of my knowledge and belief. I understand that my application may be rejected and/or that I may be dismissed if I have given false information or withheld relevant details.

Data Protection Act (1998): I understand that the information I have given on this form will be processed by computer and will be used for recruitment and selection purposes only. If I am successful in my job application, the information will be transferred to CCWater’s computerised staff records.

Name:
Signature:
Date:

To help us monitor the effectiveness of our recruitment advertising, please tell us where you saw the job advertisement:

Media Type: / Media Name:
7. Submitting your application

Thank you for completing this form. You can email your completed form to . Please ensure you quote the recruitment reference number and job title in the subject line of your email. Alternatively you may post your completed application form to us at the following address:

Human Resources Team

CCWater

1st Floor, Victoria Square House

Victoria Square

Birmingham

B2 4AJ

If you return the form by post, please ensure you pay the correct postage as incorrect postage may delay your application.

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