Ulster Historical Foundation, 49 Malone Road, Belfast,

BT96RY. Tel: (028) 90661988

E-Mail: Website:

application form

Please type or write in black ink using capitals

Position Applied For:Business Development Officer

1. PERSONAL DETAILS

Surname

First Name(s)

Marital Status National Insurance No.

Address

Post Code Home Telephone No.

Date of Birth Place of Birth

Have you had any illness of accident, which required medical care or surgical treatment, admission to hospital or lengthy absence from work? (in the last five years)

Note: Please refer also to the Disability declaration at the end of this application form.

2. ADDITIONAL INFORMATION

Are there any restrictions on your right to work in the UK? Yes No

If ‘yes’, please specify:______

Are you related to or a partner of an Ulster Historical Foundation employee? Yes No

If ‘yes’, please state the name(s), relationship

and if an employee, their job title:

How did you hear about this vacancy?

3. QUALIFICATIONS

Please give the following details of qualifications attained: Year of award, awarding body, level and grade obtained

Examination / Year / Awarding body / Level / Grade

4. DETAILS OF PROFESSIONAL QUALIFICATIONS

5. CURRENT MEMBERSHIPS OF PROFESSIONAL BODIES

6. OTHER TRAINING AWARDS/COURSES ATTENDED (inc. part-time or evening studies)

7. PLEASE GIVE DETAILS OF INTERESTS, HOBBIES, VOLUNTARY WORK, ETC.

8. EMPLOYMENT RECORD

Please state fully your employment history starting with your present/last employer. Give brief details of your duties and any special skills/experience acquired in-post (continue on addition sheets if required):

Employer / Position / From/To / Reason For Leaving

What period of notice are you required to give your present employer?

Have you had any criminal offence recorded against you (excluding ‘spent’ convictions under the Rehabilitation of Offenders (N.I.) Order 1978?

9. PERSONAL SUPPORTING STATEMENT

Please provide further information which is relevant to your application in the space provided. In responding to this question you should have regard to all the essential criteria as listed in the job specification supplied in the information pack. In particular, candidates should use the statement to demonstrate how they meet these specific requirements from the essential criteria list:

  • Your experience in a business, retail or commercial environment, or an income-generating role in the voluntary sector.
  • Your communication and presentation skills.
  • Your track record in organising successful and income-generating events/activities.
  • Your ability to work under pressure and to tight deadlines, creativity and resourcefulness and ability to deliver results.
  • The range of your IT knowledge and skills in relation to standard office packages, accounting software, social media, and any other experience you believe is relevant.

Those applicants who fail to demonstrate compliance with the essential criteria will not be shortlisted for interview. Where a number of applicants demonstrate that they do meet the essential requirements, shortlisting may have regard to the desirable requirements outlined in the specification. In answering this section you should refer to relevant experience and skills, achievements, special aptitudes and your personal qualities.

Note: Do not attachcopies of certificates or CVs, they will be discarded and the selection panel will not see them.

Personal statement

You should use succinct and apposite examples from your work and life experiencesto demonstrate how you meet the essential criteria.

Personal statement (continued)

Personal statement (continued)

10. REFERENCES

Please state two persons (not related to you) who are willing to supply references, including your last employer:

Name Name

Address Address

Occupation Occupation

11. DECLARATION

I confirm that the details given in this form are correct and understand that any false declaration may result in disciplinary action being taken, which could result in my dismissal from post.

I hereby explicitly consent to Ulster Historical Foundation holding my personal details within a manual or electronic filing system in relation to the Data Protection Act 1998.

Usual signature of Candidate

Date

A candidate found to have knowingly given false information, or to have wilfully suppressed any material fact will be liable to disqualification, or if appointed, to dismissal. Canvassing will disqualify.

CLOSING DATE FOR RECEIPT OF COMPLETED FORMS

5:00pm (GMT), Friday, 08 January 2016

Please note late applications will be rejected.

Ulster Historical Foundation is an Equal Opportunity Employer

Return completed forms to:

Ulster Historical Foundation, 49 Malone Road, Belfast, Co. Antrim, BT9 6RY

Or email completed form to: (using the subject tag: BDO Application)

OFFICE USE

Date Issued Short List for Interview

Date Received Date of Interview

Ack. Sent Result

12. DISABILITY DECLARATION

DISABILITY:

Under the Disability Discrimination Act 1995 a person is deemed to be a disabled person if he or she has a physical or mental impairment which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities. Please note that it is the effect of the impairment without treatment which determines whether an individual meets this definition.

Do you consider that you are a disabled person?

Yes:No:

If you answered “yes”, please indicate the nature of your impairment by ticking the appropriate box or boxes below:

Physical impairment, such as difficulty using

your arms, or mobility issues requiring you to use

a wheelchair or crutches:

Sensory impairment, such as being blind or

having a serious visual impairment, or being deaf

or having a serious hearing impairment:

Mental health condition, such as depression

or schizophrenia:

Learning disability or difficulty, such as

Down’s Syndrome or dyslexia, or Cognitive impairment,

such as autistic spectrum disorder:

Long-standing or progressive illness or health condition,

such as cancer, HIV infection, diabetes, epilepsy or

chronic heart disease:

Other (please specify):

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