Candidate ID Number NRS05336 –
All sections to be completed in full
APPLICATION FORM
NRS05336 Assistant Staff Officer, Grade IVNational Internal Recruitment Campaign
Workplace Relations Commission Agreement C-161867
Please read the following instructions carefully:
§ Please ensure you download, save and fully read and understand the ‘Additional Campaign Information for Candidates – Assistant Staff Officer, Grade IV’ document specific to this campaign that is available on http://www.hse.ie/eng/staff/Jobs/Job_Search/internaljobs/
§ Please ensure you read in full, the instructions for the completion of this application form. Please complete all areas, including the supplementary questions section in full and provide the required supporting documentation. Failure to complete all areas of the application form and provide the supporting documentation will result in you not being brought forward to the interview stage of the selection process.
§ You must complete and return this Application Form together with the required supporting documentation, by the designated closing date and time. Failure to provide the required supporting documentation along with the Application Form will result in your application not being processed further in this recruitment campaign.
§ Candidates should note that there can be a time delay in receiving email applications. We recommend that applicants wishing to return an application by email should allow a minimum of 1 hour for their application and supporting documentation to reach , by the closing time of 12.00 noon on Thursday 6 July 2017. Applications will not be accepted after this date and time, no exceptions will be made.
§ Where returning applications and supporting documentation by email, please use the subject line: NRS5336 Assistant Staff Officer, Grade IV.
§ Applications must be submitted as a Microsoft Word or PDF document format only. Applications and supporting documentation stored on personal online storage sites, e.g. Onedrive, Cloud, Dropbox, Google Drive etc., will not be accepted, applications submitted in other file formats e.g. Google Docs will not be accepted. Please pay particular attention to ensure that your application is attached as an attachment (not a link to an on line storage site e.g. Google Drive) when emailing your application.
§ In relation to details of employment, if the space provided is insufficient, please attach additional pages ensuring to use the same format.
§ Please read the Job Specification which provides useful information about the requirements of this post.
§ Should you be invited for interview, you may take a 'hard' copy (or 'paper' copy) of your application form with you. Mobile devices are not permitted for use during your interview.
§ The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commission for Public Service Appointments (CPSA). The Codes of Practice are available on the CPSA website www.cpsa.ie. Further information is also available in the Additional Campaign Information document available on http://www.hse.ie/eng/staff/jobs/job_search/.
§ The Health Service Executive is an Equal Opportunities Employer.
§ The Health Service Executive recognises its responsibilities under the Data Protection Acts 2003 & 1988 and the Freedom of Information Act 2014.
Please return completed application form to:
E-mail: ,Post: Yvonne O’Rourke, HBS Recruit, Health Business Services, HR HSE, Aras Slainte Chluainin, Manorhamilton, Co. Leitrim.
Closing date for applications: / Thursday 6 July 2017 at 12 noon
Proposed Interview Dates / It is our intention to hold interviews on a geographic area basis, dependent on service need. Geographic location, interview dates etc., to be confirmed at a later stage.
Applicant Details
Position Reference No.: / NRS05336
Candidate Reference No (office use only) / NRS05336 -
Personal Details:
First Name :
Last Name:
Postal address for correspondence:
MOBILE TELEPHONE (mandatory):
Contact Tel No. 2:
E-mail Address (mandatory):
(You may provide more than one)
HSE Personnel Number (mandatory):
Drivers Licence (please state type & category):
European Economic Area
Please indicate your selection with an X
Are you an EEA (European Economic Area) National? / Yes / NoPlease see Appendix 3 of “Additional Campaign Information” document for definition of an EEA National.
Important Note: If you are a non EEA citizen you must provide with your completed application form, the required documentation to support your application. For more information on this, please read Appendix 3 in the “Additional Campaign Information” document.
SKYPE Interview Request
Please indicate your selection with an X
If you are an overseas applicant, do you require a Skype interview? / Yes / NoIf you are an overseas applicant and you are requesting a SKYPE interview, please provide your SKYPE ID in the box below:
SKYPE ID :NB: Please note, due to limited resources, we cannot guarantee that all requests for SKYPE interview will be met. We will prioritise applicants who would otherwise have to undergo an inordinately long journey as well as prohibitive costs to attend an interview in person. For more information on SKYPE interview requests and to see a list of the required documents which you must provide with your application form, please refer to Appendix 7 of the “Additional Campaign Information” document.
Where did you hear about this position?To help us gauge the efficiency of our advertising strategy for this campaign, the HSE would appreciate it if you indicated in the table below where you saw this campaign advertised.
Please indicate your selection with an X
HSE website – www.hse.ie / Notification from HSE Talent PoolWord of mouth - my manager / colleague / Other, please say which
1. Superannuation Schemes
Are you currently in receipt of a Voluntary Early Retirement or Ill Health Early Retirement Pension from any of the Public Health Superannuation Schemes listed at 1-5 below, or any other Public Sector Pension Scheme?
Please indicate your selection with an X
Are you currently in receipt of a pension from any of the following superannuation schemes? (This means have you retired?)YES / NO
1. Local Government Superannuation Scheme (LGSS)
2. Health Service Executive Employee Superannuation Scheme
3. Voluntary Hospital’s Superannuation Scheme (VHSS)
4. Nominated Health Agencies Superannuation Scheme (NHASS)
5. Other Public Service Superannuation Scheme
If you have answered ‘yes’ in relation to being in receipt of a pension from any of the above Superannuation Schemes listed, you are not eligible to apply for this recruitment campaign. Please read Appendix 5 in ‘Additional Campaign Information’ for further details.
2. Current Contractual Status
· I am currently a HSE employee* Yes No
Please indicate the HSE Area in which you work
Please indicate your selection with an X
Dublin Mid Leinster / SouthDublin North East / West
If you answered yes to the above question, please choose the option below which best matches your current contractual status:
· I have a permanent contract
or
· I have a temporary contract
*HSE Employee = you are a direct employee of the HSE and not in a post funded or partially funded by the HSE
3. Proficiency in Irish
Candidates will be afforded the added opportunity to demonstrate their ability to perform the duties of the office through Irish. This assessment will be on a pass/fail basis and will not disturb the marks awarded in the selection process. Where vacancies arise for which proficiency in Irish is a management requirement, the HSE will offer such posts in order of merit to candidates who have successfully passed the Irish assessment. Please indicate if you wish to undertake an Irish assessment exam.
Yes / No
Geographic Area Choice
Please see Appendix 9 of Additional Campaign Information before completing this section of the application form.
You may choose a single geographic area from the list below
This recruitment campaign NRS05336 is restricted to existing HSE employees currently appointed temporarily to Grade IV. There is a separate externally advertised recruitment campaign for Assistant Staff Officer, Grade IV, reference NRS05303. Applicants for NRS05336 (this recruitment campaign) are welcome to also apply separately for NRS05303 Assistant Staff Officer, Grade IV i.e. the external recruitment campaign. The external campaign offers applicants the opportunity to choose two geographic locations. Please note, if you also apply for the external campaign the geographical area choice you make below must be the same as one of the two geographic area choices which you select if you apply for NRS05303. Your single geographic area choice for this campaign will count as one of the two geographic area choices for the external campaign.
Examples of this are available in Additional Campaign Information on page 3.
Important Note: No changes can be accepted to your single geographic area choice after the closing date and time for the submission of initial application forms.
In the table below, please indicate the single geographic area where you would most like to work. It is the intention of HBS Recruit to form panels in order of merit by geographic area.
GEOGRAPHIC AREA / Please indicate your selection with an XCarlow / Kilkenny
Cavan / Monaghan
Clare
Cork
Donegal
Dublin North
Dublin South
Galway
Kerry
Kildare / West Wicklow
Laois / Offaly
Limerick
Longford / Westmeath
Louth / Meath
Mayo
Roscommon
Sligo / Leitrim
Tipperary North / East Limerick
Tipperary South
Waterford
Wexford
Wicklow
ELIGIBILITY CRITERIA
In order for us to process applications to the next stage (interview), the following documentation must be submitted:
1. A completed application form
2. A scanned copy of the completed and signed Line Manager Letter of Confirmation. This letter is available for print, completion and signature as the last page of this application form and also as Appendix 2 page 9 in Additional Campaign Information.
3. A scanned copy of your payslip dated no earlier than 01 May 2017. Please note you are welcome to redact/remove/blank out any irrelevant information on the copy of the payslip which you provide e.g. PPSN, voluntary/statutory deductions etc. Please do not remove/blank out the following information from the copy payslip as it is required in order to process your application (i) Name, (ii) Position/Grade, (iii) Personnel Number.
It is important that the name of the person applying i.e. the applicant, matches the name provided in supporting documentation (i.e. payslip and Line Manager confirmation letter).
In line with the Workplace Relations Commission agreement C-161867 of 28 April 2017 this recruitment campaign is restricted to applications from existing HSE employees who are in receipt of a specified purpose contract / fixed term contract appointing them temporarily to a Grade IV level i.e. paid at the Department of Health consolidated Grade IV salary scale.
For more information on the above supporting documentation, please see Additional Campaign Information.
The information you provide here will be used to confirm that you meet this requirement. Please outline below out how you meet the requirements:
Please tick as appropriate
Yes / No1. I am a Grade IV
2. I am paid at Grade IV salary scale
3. My Grade IV appointment is temporary
4. I am a direct employee of the HSE
5. I am paid directly by the HSE
If you have answered “No” to any of the above questions you are not eligible to apply for this restricted recruitment campaign
Please tick as appropriate
6. I work for the following HSE Service / Acute Hospital
Mental Health
Primary Care
Social Care
Health & Wellbeing
Corporate
HBS
National Ambulance Service
7. I work for the HSE in the following location: / Please tick as appropriate
Carlow
Cavan
Clare
Cork
Donegal
Dublin
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Waterford
Westmeath
Wexford
Wicklow
EDUCATIONAL ACHIEVEMENTS
Please include second level and any (additional) third level educational achievements:
DatesFrom / To / Educational Institution / Conferring
Body / Course of Study / Qualification Achieved / Grades Achieved
CAREER OVERVIEW
IMPORTANT: Please ensure all career history is clearly outlined below (e.g. if you took a career break, spent time out of work, please include this information so there are no gaps in your career history from when you left full-time education to present date).
From / To / Title / EmployerDetailed Career History- please begin by listing the most recent first:
Job Title:Grade/ Management Level (if applicable):
Employer(s) & Department Name:
From (00/00): / To (00/00):
Main Roles & Responsibilities:
Job Title:
Grade/ Management Level (if applicable):
Employer(s) & Department Name:
From (00/00): / To (00/00):
Main Roles & Responsibilities:
Job Title:
Grade/ Management Level (if applicable):
Employer(s) & Department Name:
From (00/00): / To (00/00):
Main Roles & Responsibilities:
Job Title:
Grade/ Management Level (if applicable):
Employer(s) & Department Name:
From (00/00): / To (00/00):
Main Roles & Responsibilities:
Job Title:
Grade/ Management Level (if applicable):
Employer(s) & Department Name:
From (00/00): / To (00/00):
Main Roles & Responsibilities:
Supplementary Questions 1 - 4
This is an important section of the Application Form. Before you begin completing this Supplementary Questions section, we recommend that you read the “Supplementary Questions Guide” which you will find in Appendix 1 of this application form.
Under each question area, briefly describe what you consider to be a good example of demonstrating your ability in each of the skill areas (Supplementary Questions 1-3). A summary definition of each of the skill areas is provided for your information. This is a summary of what we mean by each skill heading. Please provide the information in the format requested at (a), (b), and (c) as outlined in the “Information on completing the Supplementary Questions” section. Remember anything you say may be used as part of a shortlisting/ranking exercise and may be discussed in more depth at interview, should you be called to one.
1. Planning and Managing ResourcesIt is important that the Assistant Staff Officer, Grade IV demonstrates excellent planning and organisational skills including using computer technology effectively. S/he demonstrates the ability to manage deadlines and effectively handle multiple tasks as well. S/he demonstrates the ability to manage within allocated resources and demonstrates a capacity to respond to changes in a plan.
In the space below, please give an example of a situation where you best demonstrated your ability in this area.
2. Commitment to a Quality Service
The effective Assistant Staff Officer, Grade IV demonstrates a commitment to providing a quality service and customer service skills. S/he sets high goals/ standards of performance for self and others. S/he takes personal responsibility for ensuring standards are met. S/he uses computer skills to advance good quality work practices. S/he monitors and reviews his/ her own work and that of the team to ensure its quality and accuracy. The effective Assistant Staff Officer, Grade IV seeks to provide a quality service to all service users by treating service users in a helpful and co-operative manner. S/he adopts an accountable and transparent approach and strives to improve the standard of service provided.
In the space below, please give an example of a situation where you best demonstrated your ability in this area.
3. Team Working
An effective Assistant Staff Officer, Grade IV, demonstrates the ability to work both independently and as part of a team. S/he demonstrates the ability to establish good working relationships with a wide range of internal and external stakeholders. S/he demonstrates capacity for management responsibility and initiative as well as leadership potential and strong team skills.
In the space below, please give an example of a situation where you demonstrated your ability in this area.
4. Experience relevant to the Role
Please provide below SPECIFIC DETAILS from your experience to date that you feel help you meet the requirements for this post as detailed in the Job Specification. Please note that the information supplied here will be taken into consideration in determining your eligibility and / or shortlisting / ranking for this campaign.
Date(s) from – Date(s) to / Employer(s) & Department Name
General Declaration