R059/03/2016
R074/03/2016
APPLICATION FORM
FOR
ROLE OF COMMUNITY FIREFIGHTER
(PLEASE TICK THE RELEVANT BOX TO INDICATE WHICH STATION YOU ARE APPLYING FOR – ONLY ONE BOX CAN BE TICKED)
Station / Job Ref No / Tick / Station / Job Ref No / Tick:Antrim / R059/03/2016 / Comber / R067/03/2016
Ballymoney / R060/03/2016 / Donaghadee / R068/03/2016
Carrickfergus / R061/03/2016 / Downpatrick / R069/03/2016
Coleraine / R062/03/2016 / Newtownards / R070/03/2016
Glengormley / R063/03/2016 / Newtownhamilton / R071/03/2016
Larne / R064/03/2016 / Dungannon / R072/03/2016
Whitehead / R065/03/2016 / Enniskillen / R073/03/2016
Ballynahinch / R066/03/2016 / Limavady / R074/03/2016
Thank you for your interest in the above post. Please read the Important Guidance Notes on pages 2 and 3 before starting to complete the Application Form. You must meet the criteria by the closing date for applications.
NB: The closing date for receipt of applications is 3.00 pm on Friday, 22 April 2016.
Section 1 – Personal Details
Full Name [This must be your full official surname and forename(s)]Surname as stated on your birth certificate
Address
Telephone Numbers / Home
Mobile
Work
E-mail Address
IMPORTANT
All sections of this application form must be completed. It is the applicant’s responsibility to provide sufficient information for the application to be assessed and care should be taken to ensure that the details are full, accurate and relevant to the requirements set out for the post. Additional sheets should not be inserted nor curriculum vitae attached.
Post of Community Firefighter – R059/03/2016-R074/03/2016 Page 2 of 15
Section 2 – Employment History
EMPLOYMENT HISTORYPlease list your previous employers up to a maximum of 10, with the most recent first, identifying any gaps in employment.
From-To
dd/mm/yy dd/mm/yy / Employer Name & Location / Job Title & Salary / Reason for Leaving / Main Duties & Responsibilities
From
To
From
To
From
To
From
To
From
To
EMPLOYMENT HISTORY
Please list your previous employers up to a maximum of 10, with the most recent first, identifying any gaps in employment.
From-To
dd/mm/yy dd/mm/yy / Employer Name & Location / Job Title & Salary / Reason for Leaving / Main Duties & Responsibilities
From
To
From
To
From
To
From
To
From
To
Post of Community Firefighter – R059/03/2016-R074/03/2016 Page 2 of 15
Section 3 – Selection Criteria
The information provided in your application form plays a vital role in the shortlisting process. Only those who have sufficiently demonstrated on their application form that they meet the criteria by the closing date will be invited to the next stage.
The criteria for selection to the post for which you have applied are set out in the following pages.
In the box under each heading please give a clear and comprehensive account of the specific ways in which you consider you meet these requirements. The information will be used to assess your suitability for the post and you should ensure, therefore, that all relevant information is included. Each criterion is assessed individually and must therefore be completed in full, i.e. candidates should not rely on information included in a previous section for other criteria.
Essential Criteria
1 Be able to demonstrate that you are available for 120 hours* each week, across a range of time periods including day time, evenings and weekends, in order to respond to emergency calls and
*This is currently under review in line with NIFRS RDS Incident Attendance and Availability Policy
Please also specify the hours you will be able to respond to emergency calls.
2 Be able to demonstrate that you are able to attend the 2 hour drill night each week
3 Be able to demonstrate that you are able to attend all training which will normally take place on weekends and will be approximately 12 days per year (after initial training)
4 Be able to demonstrate that you are able to respond to the Fire Station for which you have applied within 5 minutes of being alerted.
Please note: Future scenarios which cannot be currently evidenced will not be accepted, e.g. plans to move house or plans to find employment near the Fire Station.
Please state the full postal address(es) of the location(s) that you will normally respond to emergency calls from (if this is different to your home address, please explain why):
How far is the Fire Station from your NORMAL response address(es)? / minutesDistance checks will be carried out on the address(es) which you have provided. If your normal response address is not your home address you will be required to provide evidence that you have consent to respond from that address. Note: providing false information regarding consent to respond from an address other than your home address this will render your application invalid and any appointment offered will be rescinded or terminated.
You must state how you will be able to respond within 5 minutes of being alerted whilst abiding by normal Road Traffic Regulations.
Only complete question 5 if you are currently employed and plan to respond from your place of work.
5 Be able to demonstrate that you have the consent of your employer(s) to respond to emergency calls during your contractual working week (if applicable)
The information which you give in this section is extremely important and you should ensure that it is full and accurate.
Please state the full name of your employer(s) and postal address(es) of the work location(s) that you would normally respond to emergency calls from and your hours of work:
How far is the fire station from your NORMAL place of work? / minutesYou must state how you will be able to response within 5 minutes of being alerted whilst abiding by normal Road Traffic Regulations.
Has your employer agreed to release you during working hours in order to respond to emergency calls?
Yes No
NB: IF SELECTED FOR INTERVIEW, YOU WILL BE REQUIRED TO PRODUCE WRITTEN CONFIRMATION OF YOUR EMPLOYER'S CONSENT.
IN-SCOPE DRIVING
In accordance with EU Directive 561/2006, an "in-scope" driver is defined as "the driver of a goods vehicle over 3.5 tonnes or a passenger vehicle with 9 or more seats".
When making your application you should consider if your employment falls under these Regulations as this may affect your capability to provide the availability required.
Are you subject to the "In-Scope" Regulations?
Yes No
6 Will be aged 18 years or over upon commencement of training on 15th October 2016
Please complete one of the following boxes below:
Yes No
(Please note, we will collect information at interview stage relating to your date of birth to verify you meet the above criterion).
REFERENCES
Please give the names and addresses of two persons not related to you from whom references may be sought. One of these must be your present employer or, if you are currently unemployed, your most recent employer who has knowledge of you in a working environment and is able to comment on your ability to carry out the particular tasks of the job applied for.
Name: / Name:Company Name / Company Name
Address: / Address:
Occupation: / Occupation:
Tel No: / Tel No:
Email / Email
If you have not named your current employer, please state why?
CANVASSING
Canvassing of Northern Ireland Fire & Rescue Service Staff or Members of the NIFRS Board in any form, oral or written, directly or indirectly, in connection with this appointment shall disqualify a candidate.
Please note – incomplete applications will not be accepted. It is therefore recommended that you check through all sections before submitting.
DECLARATION
I declare that the information contained in this application form is correct to the best of my knowledge.
I also accept that if I have provided false or misleading information this will render my application invalid and any appointment offered will be rescinded or terminated.
Signed:Date:
DATA PROTECTION
NORTHERN IRELAND FIRE & RESCUE SERVICE PROCESSES THE INFORMATION PROVIDED ON THIS FORM FOR THE PURPOSES OF MEETING ITS LEGAL OBLIGATIONS.
HUMAN RESOURCES DEPARTMENT USE ONLY
Where did you initially see the advertisement for this post?
Please tick one of the following boxes:
Newspaper Please specify which one
Other Media Please specify
Website Northern Ireland Fire & Rescue Service
Poster/Flyer in
Local business/
Organisation
Station Banner
If none of the above, please give details
THIS INFORMATION IS FOR HUMAN RESOURCES USE ONLY AND WILL NOT BE ATTACHED WITH YOUR APPLICATION DURING THE SELECTION PROCESS.
Job Ref No: / R059/03/2016R074/03/2016
NORTHERN IRELAND FIRE & RESCUE SERVICE
HUMAN RESOURCES DEPARTMENT USE ONLY
This information is required only in connection with interview arrangements and will not be attached with your application at time of interview.
Name /Application For
Community FirefighterI am not related to any Member(s) of the NIFRS Board or Staff of Northern Ireland Fire & Rescue Service.
I am related to the undernoted Member(s) of the NIFRS Board or Staff of Northern Ireland Fire & Rescue Service:
(Delete as appropriate)
NAME / POST / LOCATION / RELATIONSHIP______
FOR OFFICE USE ONLY
POST COMMUNITY FIREFIGHTERJOB REF NO R059/03/2016-R074/03/2016 CANDIDATE NO
Post of Community Firefighter – R059/03/2016-R074/03/2016 Page 2 of 15
EQUALITY MONITORING FORM
Northern Ireland Fire & Rescue Service (NIFRS) is committed to equality of opportunity for all employees and job applicants, regardless of gender, marital status, disability, age, religious affiliation, political opinion, ethnic origin, dependants, or sexual orientation.
NIFRS selects those suitable for employment and advancement solely on the basis of merit. NIFRS monitors its recruitment and selection activity to ensure that equal opportunities policy is effectively implemented. To assist in this monitoring process it is necessary to ask you a number of questions.
Section A
In order to comply with legislative requirements this section must be completed. Failure to complete Section A will result in your application being rejected.
1. Gender
Male Female
2. Marital status
Single Married Separated Divorced
Widowed Civil Partnered Civil Partner (dissolved) Co-habiting
3. Community Background and Religious Affiliation
Employers registered with the Equality Commission for Northern Ireland have a legal duty to monitor community background under the Fair Employment and Treatment (NI) Order 1998. Regardless of whether we practice religion most of us in Northern Ireland are seen as either Catholic or Protestant. We are therefore asking you to indicate your community background by ticking the appropriate box below:
I am a member of the Protestant community
I am a member of the Roman Catholic community
I am a member of neither the Protestant nor Roman Catholic community
Do you have a religious affiliation or other belief?
Yes No
If ‘yes’, are you:
Roman Catholic Presbyterian Church of Ireland
Methodist Baptist other Christian denomination
Hindu Jewish Buddhist
Sikh Baha’i Muslim
Other – please state
Section B
The following categories are monitored to promote equality of opportunity in accordance with equality legislation, and assess the extent of applicant and workforce diversity in NIFRS.
4. Political opinion
Political opinion does not relate solely to Northern Ireland politics, you are invited to describe your political opinion in the manner you believe is appropriate and this can include how others would ‘perceive or suppose’ your political opinion to be:
Unionist Nationalist Other – please state
______
For Office Use Only
Job Ref: Community Firefighter – R059/03/2016-R074/03/2016 Candidate No:
5. Ethnicity
To which of these ethnic groups do you belong?
White Irish Traveller Chinese
Indian Bangladeshi Pakistani
Black-African Black-Caribbean Mixed Ethnic Group
Black-Other
Any other ethnic group (please state)
6. National Origin
What is your country of birth and/or nationality? (please state)
7. Dependants
Do you look after or give support on a daily/weekly/monthly basis to an individual belonging to one of the following groups:
(a) a dependant child or young person Yes No
(b) an adult with long-term physical or Yes No
mental health problem
(c) a dependant older person Yes No
8. Disability
In accordance with the Disability Discrimination Act 1995, a disability is defined as ‘a physical or mental impairment that has substantial and long-term adverse effect on your ability to carry out normal day-to-day activities'.
Do you consider yourself to have a disability?
Yes No
If ‘yes’ please specify the nature of your disability
Do you have a Specific Learning Difficulty, eg, dyslexia, dyspraxia, dyscalculia?
Yes No
If ‘yes’ please specify the nature of your difficulty
9. Age
Please provide your Date of Birth
10. Please indicate your sexual orientation:
Heterosexual Homosexual Bisexual Declining to comment
11. National Insurance No:
12. Are you an EC National? Yes No
If no - do you require a work permit to work in Northern Ireland? Yes No
13. Are you currently employed by Northern Ireland Fire & Rescue Service? Yes No
If yes, please state Service No:
When you have completed this monitoring form please place with your completed application form in an envelope addressed to the Equality Officer
Please note: Your name must not appear anywhere on this form
For Office Use Only
POST: Community FirefighterJob Ref: R059/03/2016-R074/03/2016 Candidate No:
Post of Community Firefighter – R059/03/2016-R074/03/2016 Page 2 of 15