Our Ref No:
Application Form
Youth Support Worker (Part-time)
(Fixed Term Position until 31 March 2014)
September 2013
Application Forms must be returned
to the address below by 12pm on 20th September 2013.
Return to:
The Application Officer
Youth Academy NI
3 Glenford Way
Newtownards
Co. Down
BT23 4BX
T 028 9182 1721
E ruth@communityworksonline.com
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 1 of 12
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:
Youth Support Worker (Part-Time) - 12 Hours
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
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 2 of 12
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.
Are you subject to any current or outstanding disciplinary procedures of legal action? YES / NO
If YES, please provide details.
DISABILITY
If you consider yourself to have or have had a disability that is relevant to the position for
which you are applying please provide any relevant information about your disability and any
requirements that you may need so that we can process your application fairly and make any
reasonable arrangements / adjustments to enable you to attend for interview.
In accordance with the Disability Discrimination Act 1995, a person is disabled if they have, or have had, ‘a
physical or mental impairment which has, or has had, a substantial and long term adverse effect on their ability to
carry out normal day-to-day activities’.
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 3 of 12
EDUCATION HISTORY
Colleges/Further Education/University
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
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
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
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 5 of 12
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
Rate of Pay/Reason for
Leaving
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 6 of 12
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
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 7 of 12
ESSENTIAL CRITERIA
Using the Person Specification, 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. Please use continuation sheets if necessary. Please note the criteria may be
enhanced.
Essential Criteria
1. Do you hold local youth work qualifications: OCN Introduction to Youth Work (Levels 2 and
3) or equivalent? (please tick appropriate box)
Level 2
Level 3
Equivalent _________________________________
2. Please demonstrate that you have at least one year’s experience in the last five years in a
challenging youth work setting.
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 8 of 12
3. Please demonstrate your experience working within a range of youth work situations with
young people aged 11 – 18 from all social and cultural backgrounds. Tell us about some of
the issues this age group might face in Northern Ireland.
4. Please demonstrate your knowledge and understanding of all relevant legislation relating
to child protection, safeguarding issues and any relevant policy and practice frameworks.
Demonstrate in you answer your experience of providing affective pastoral care to young
people.
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 9 of 12
5. Please demonstrate your ability to act on your own initiative, to prioritise and manage
your own workload and your ability to communicate written and orally in an effective
manner.
6. Please demonstrate you are able to lead and work with others effectively and able to build
trust and confidence with staff, volunteers and young people.
7. Please demonstrate that you are flexible, willing to work unsociable hours and able to
perform well under pressure.
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 10 of 12
DESIRABLE CRITERIA
1. Do you have a valid First Aid Certificate?
Yes
No
2. Please demonstrate your knowledge of local services applicable for young people in the
Ards area.
Please tell us in your own words what you believe you would bring to Youth Academy NI and
why you therefore are well suited to this position.
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 11 of 12
Any other relevant information to support your application.
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
3 Glenford Way, Newtownards, BT23 4BX. Tel (028) 9182 1721
Youth Academy NI is a name used by, and is the youth division of, North Down CFC.
North Down CFC was established under trust and is accepted as a charity by HM Revenue & Customs
Page 12 of 12