Application Ref No ______
(For office use only)
PARENTING NI
Head Office
42 Dublin Road, Belfast, BT2 7HN
TEL: (028) 9031 0891
STAFF APPLICATION FORM
Application forms must be typed and well presented.
The quality of presentation of your application form will be taken into account during shortlisting
Position applied for
Surname
Mr/Mrs/Miss/Ms
Parent / Child Counsellor
First Name(s)
Maiden Name
Address (where normally contactable)
Post Code
Tel no (private)
Tel No (work)
Tel No (mobile)
Email address
FOR OFFICE USE ONLY
Shortlisted
Date of preliminary interview
Interviewed by
Date of second interview
Position offered
Position refused
First reference taken up?
Second reference taken up?
Letter of confirmation received?
Starting date
Salary
Yes / No
Letter sent
Letter sent
Received?
Received?
Scale
1
Hours
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Application Ref No ______
(For office use only)
EDUCATIONAL QUALIFICATIONS
Date
Level of Qualification eg GCSE, A Level,
Diploma, Degree
Subject
Grade
VOCATIONAL QUALIFICATIONS
Date
Qualification eg NVQ
Level achieved
EMPLOYMENT HISTORY
Start with your present appointment (or most recent, if none held at present) and work BACKWARDS through your career.
Dates
Employer and Location of
job
Position and main responsibilities
Salary
Reason for leaving
From
To
Date/Month Date/Month
/Year
/Year
2
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Application Ref No ______
(For office use only)
State the qualification/s you have to meet the criteria of Diploma in Counselling or equivalent and
also the Diploma in Counselling Children and Young People
Describe how you meet the criteria of 150 hours supervised counselling practice
a. What employment can you set against the criteria of a minimum of 1 year’s counselling
experience of working with individuals (parents or other adults) on a one to one basis through a
support process (this must include continuous / regular contact)?
b. Describe your role and responsibilities during that employment.
250 words
3
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Application Ref No ______
(For office use only)
Describe your understanding of the needs of parents and families
250 words
Describe your sound working knowledge of child protection, child development and children’s
behaviour
250 words
Describe your knowledge of diverse parenting styles, skills and issues
250 words
4
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Application Ref No ______
(For office use only)
IN THIS SPACE BELOW GIVE ANY ADDITIONAL INFORMATION IN SUPPORT OF YOUR
APPLICATION.
5
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Application Ref No ______
(For office use only)
Please give the names and addresses of two persons whom we may contact for references. One
should be your present employer, or most recent if unemployed. References will be taken up
following interview for the successful candidate.
Name
Address
Tel No
Occupation
How soon would you be able to take up your appointment? ……………………………………………
Under Disability Discrimination legislation, are there any reasonable adjustments that need to be
made if you are shortlisted for interview?
I certify that all particulars are true and correct. I understand that any offer of employment with
PARENTING NI is subject to receipt of satisfactory references and Access NI check.
Signature of applicant ……………………………………………. Date…………………………………..
This form should be returned to : THE CHIEF EXECUTIVE
PARENTING NI
42 DUBLIN ROAD
BELFAST BT2 7HN
By noon on Tuesday 1st December 2015
Interviews will take place on Tuesday 8th December 2015 or Thursday 10th December 2015 at
Parenting NI offices in Belfast.
EMAILED AND LATE APPLICATIONS WILL NOT BE CONSIDERED
All information on this form will be treated as confidential
6
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