Our Ref No:
Application Form
Senior Youth Worker (37.5 HPW)
July 2015
Application Forms must be returned
to the address below by 4pm on 5 August 2015.
Return to:
The Application Officer
Youth Academy NI
3 Glenford Way
Newtownards
Co. Down
BT23 4BX
T 028 9182 1721
E danielle.boyd@northdowncfc.com
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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APPLICATION FOR EMPLOYMENT
Please complete this information form in CAPITAL LETTERS and in black ink. This form should
be returned to the address on the front page.
Position Applied For:
Senior Youth Worker (37.5 HPW)
PERSONAL DETAILS
Full Name
Address
Town of Birth
Telephone
Email
Postcode
Do you have access to a car or other suitable form of transport if necessary to meet the
requirements of the post? YES / NO
Do you hold a current valid driving licence? YES / NO
If yes please state type of licence which you hold
POLICE CHECK INFORMATION
Please note this post involves ‘regulated activity’ as defined under Safeguarding Vulnerable Groups (NI) Order 2007.
Therefore all applicants must declare criminal offences (whether or not they are spent) and successful applicants
subject to an Enhanced Access NI Check.
Is there any reason as to why you would not be suitable to work with children/ young people /
vulnerable adults? YES / NO
If YES, please provide details.
Have you ever been convicted by a court of a criminal offence? YES / NO
If YES, please provide details including dates and court where convicted.
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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Are you subject to any current or outstanding disciplinary procedures of legal action? YES / NO
If YES, please provide details.
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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EDUCATION HISTORY
Qualifications Obtained / To Be Taken
Subject obtained / to Level of
be taken
Qualification
Example:
Maths
Word Processing
Youth and Community Work
Example:
GCSE
OCN Level 2 & 3
Degree
Examining Body
/ University
Grade
Example:
CCEA
OCN NI
AEB
University of Ulster
Example:
Grade C
Pass
To be
awarded
Month /
Year
Obtained
Month /
Year
Expected
Example:
June 2000
Example:
June 2012
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
Page 4 of 12
Qualifications Obtained / To Be Taken (continued)
(Please continue on another sheet if applicable)
Subject obtained / to Level of
Examining Body
be taken
Qualification
/ University
Example:
Maths
Word Processing
Youth and Community Work
Example:
GCSE
OCN Level 2 & 3
Degree
Example:
CCEA
OCN NI
AEB
University of Ulster
Grade
Example:
Grade C
Pass
To be
awarded
Month /
Year
Obtained
Month /
Year
Expected
Example:
June 2000
Example:
June 2012
PRESENT EMPLOYMENT
Name and address of employer
Reason for leaving
Position
Annual Salary / Wage
Date of appointment
Period of notice
required
Brief outline of main duties and responsibilities
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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PREVIOUS EMPLOYMENT begins with current or last employer and work backwards
Please explain any gaps in employment (if applicable)
Name & Address of
Employer
Position Held
From/To
Month & Yr
Main Duties and
Responsibilities
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
Rate of Pay/Reason for
Leaving
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REFERENCES
Please give details of two Referees, one of which should be your last or current employer.
These referees may be approached following the interview stage, unless you specify
otherwise.
Name
Name
Organisation and address
Organisation and address
Telephone
Telephone
Email
Email
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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How do your qualifications, skills, experience and abilities relate to this post? You must
demonstrate how you adequately meet the following criteria as listed in the specification,
drawing upon all of your experience, whether at work or on a voluntary basis.
Use as much space as your need and be as creative as you like.
Please note the criteria may be enhanced.
Essential Criteria
1. Please demonstrate that you are professionally qualified in Youth Work in accordance with
the JNC Report for Youth Workers, Paragraph 5 AND have two years’ experience in the past
five years and a minimum of two years experience in the past five years working with
young people.
2. Please demonstrate your experience in dealing with challenging behaviour with young
people.
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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Desirable Criteria:
3. If you were asked to complete a yearly manifesto which explored need and laid out
strategy – 1) What activities would you undertake to complete this document? 2) What
would you include? 3) How would you measure the impact of your work?
4. Please demonstrate what sets you apart and makes you the right person for this role?
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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5. In your experience what do you think are the key elements and priorities which are
involved in the delivery of youth work to young people.
6. Please demonstrate how would you identify, inspire and work with a team of staff and
volunteers?
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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7. In your experience what are the key relationships a senior youth worker would hold and
why would they be important to the role?
8. Please describe what you think sector leading youth work look like?
Any other relevant information to support your application.
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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ELIGIBILITY TO WORK IN THE UK
Are you eligible to work in the UK? :
YES
□
NO
□
You will be required to provide documentation to support this claim
(under the Immigration, Asylum and Nationality Act 2006) if offered the post.
DECLARATION
DECLARATION I declare that the information set forth in this application form is, to the
best of my knowledge, true and complete.
Signature: ___________________________________________
Date:
___________________________________________
PLEASE RETURN TO:
THE APPLICATIONS OFFICER
YOUTH ACADEMY NI
3 GLENFORD WAY, NEWTOWNARDS, CO DOWN BT23 4BX
Youth Academy NI, 3 Glenford Way, Newtownards, Co Down, BT23 4BX (028) 9182 1721
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