Parliamentary ICT Service

In Confidence

Parliamentary ICT Service

Application for Employment

Type/use black ink to complete this form as it will be photocopied. Complete questions 1-6 in block capitals
Post applied for:Telecoms Assistant Ref: Q10263
Closing Date:20/02/2015
1. Surname / Title (Mr//Mrs/Miss
Ms/Dr etc)
Forename(s)
2. Home Address
Postcode / Telephone (Home)
Email address / (Work)
3. Nationality / (Mobile)
4. Eligibility to work in the UK
You will be required to provide a proof of your eligibility to work in the UK.
Eligibility to work in the UK – Important Information
5. Where did you see this job advertised?
Please tick appropriate boxes
Insert publication/website 1 / Job Centre plus
Insert publication/website 2 / Parliament website
Insert publication/website 3 / Parliament intranet
Insert publication/website 4 / Parliament notice board
Other (please specify):

6. Employment history

Please give details of all employment that you have undertaken in the past 10 years in date order starting with the most recent. Please use a continuation sheet if necessary. Dates should be continuous. Any gaps should be detailed at question 8.

From
(mm/yy) / To
(mm/yy) / Position held and main responsibilities / Reason for leaving
Present or most recent post
Name of Company:
Address:
Salary:£
Previous post
Name of Company:
Address:
Previous post
Name of Company:
Address:
Previous post
Name of Company:
Address:
Previous post
Name of Company:
Address:

Tick this box if you have used a continuation sheet

Tick this box if you have ever been employed in the Civil Service

(for pension purposes only)

7. Education and qualifications

Starting with the most recent, give details of all qualifications you hold that are listed as essential or desirable for this post:

• relevant professional or vocational qualifications or equivalent
• graduate and post-graduate educational qualifications or equivalent

Where secondary educational qualifications (e.g. A-levels or GCSEs) are not essential for the post, only list them if you have no higher level educationalqualifications.

If selected for interview you will be asked to provide original certificates for all qualifications listed as essential for this post.

Level of award e.g. degree, diploma, A-level / Subject / Grade or class awarded / Date awarded

8. Give details of any time not already accounted for in the last 10 years

Dates / Reason

9. Experience and skills

The following criteria have been identified as being essential or desirable for this post. You should provide one or two specific examples of past achievement and/or training that demonstrate how you meet eachcriteria/competency. Please do not generalise (e.g. “My usual task is to...” or “I would normally…) or significantly exceed 100/250 (only use latter if using competency-based criteria) words per section as either could disadvantage your application.

Demonstrates good communication skills with the ability to communicate effectively both verbally and in writing and excellent organisational skills with a methodical approach to prioritising work to meet deadlines
Able to contribute to and work well within a team.
Has an analytical approach to problem solving
Excellent attention to detail and strong numeric skills
Ability to grasp new concepts and terminology and learn new systems and services quickly, asking for help when required
Good knowledge of mobile telephone technology and services
10. What are your reasons for applying for this post?
11. Is there anything else you wish to tell us that you have not had the opportunity of doing elsewhere on this application form?

12. References

The Parliamentary ICT Service requires references covering your last three years of employment. These must be provided by either your manager (if they still work for that employer) or your Human Resource department if your manager has left the organisation. Academic referees can only be accepted if you do not have three years’ of employment history. Please see the ‘Information for Applicants’booklet for more details.

Period reference covers
From / To
Name of referee
Job title
Name of organisation and
address
Email
Switchboard number
Fax number
Name of referee
Job title
Name of organisation and address
Email
Switchboard number
Fax number
Name of referee
Job title
Name of organisation and address
Email
Switchboard number
Fax number

Please tick this box if we may contact your current employer once we have made a provisional offer of employment. We will require a reference from your current employer before an offer can be confirmed but we will contact you before doing this if you do not tick this box now.

13. Provide details of any dates you cannot attend test or interview. We will try to avoid these dates if you are shortlisted but cannot guarantee to do so.
14. When could you take up the appointment if successful?

The Disability Discrimination Act 1995 defines a disability as ‘a physical or mental impairment which has a substantial and long-term adverse effect on someone’s ability to carry out normal day-to-day activities’.

15. Do you consider yourself to have a disability that you wish to declare? / Yes / No
16. If so, would you need any particular arrangements at interview / Yes / No

If the answer is YES, please provide further details below(If selected for test and/or interview, we will contact you to discuss and confirm the arrangements).

17. Data protection statement

We are collecting this information to help us assess your job application. It will be used for our recruitment and selection procedure. It will be seen by members of recruitment boards, HR staff, other managers in the Houses of Parliament and recruitment agency staff. If you are employed by the House of Commons/Lords or Parliamentary ICT Service some of the information will be transferred to the HR database and to managers in your department. This information will be kept until you are aged 77 (for pension purposes). If you are not selected for this post the information may be passed onto another recruitment board, but if not required will be destroyed after one year. If you have any concerns about the collection or use of this information you should contact the PICT Head of HR & Development, our Data Protection Representative on behalf of the Corporate Officers of the two Houses of Parliament..

18. Declaration I declare that:

• The details on this application for employment and achievement record are correct to the best of my knowledge and belief. I understand that any false statement or withholding of information asked for on this form may be sufficient cause for rejection or, if employed, dismissal
• I have read the data protection statement above and agree that information from this exercise can be stored and processed in the manner described in that statement
• I consent to the Parliamentary ICT Service obtaining information from the referees I have provided about performance and conduct at work, and absence from work

Signed: / Date:

Version:January 2009

Candidate reference no ………………………….

The Parliamentary ICT Service recognises and values the diversity of its staff and is committed to:

• Promoting equality of opportunity for people of all ethnic groups, and
• Developing working practices which will allow every member of staff to contribute his or her best.

The House and PICT has a corporate goal to better reflect the diversity of the community at large and an equal opportunities policy to reinforce this. It is good practice to support policies of this nature by monitoring details of staff gender and ethnic origin as this enables us to measure how we are doing. To do this we need you to complete the questionnaire. The information you provide about your ethnic origin will be treated in the strictest confidence: it will be held on the Department of Resources personnel database to which only the diversity team and Principal Establishments Officer have access.

19.Which groups do you most identify with? Please tick only ONE box in Column A and ONE box in Column B. The options are listed alphabetically.

Column A / Column B
ASIAN
(A) / British or Mixed British / (A) / Bangladeshi
(B) / English / (B) / Indian
(C) / Irish / (C) / Pakistani
(D) / Scottish / (D) / Any other Asian background (specify if you wish)
(E) / Welsh
(F) / Or any other (specify if you wish)
BLACK
(E) / African
(F) / Caribbean
(G) / Any other black background (specify if you wish)
CHINESE
(H) / Any Chinese background (specify if you wish)
MIXED ETHNIC BACKGROUND
(I) / Asian and White
(J) / Black African and White
(K) / Black Caribbean and White
(L) / Any other mixed ethnic background (specify if you wish)
WHITE
(M) / Any White background (specify if you wish)
ANY OTHER ETHNIC BACKGROUND
(N) / Any other ethnic background (specify if you wish)

20. Are you:Male Female

21. Age last birthday

Version:January 2009