5. employment history / voluntary positions held

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Northern Ireland Federation of Housing Associations
Thank you for your interest in this position at NIFHA. We look forward to receiving your completed application form
and monitoring form.
APPLICATION
PRIVATE & CONFIDENTIAL
Position applied for: Policy & Communications Intern
Please complete ALL RELEVANT sections of the application form using black ink or 11 point Arial type.
1. PERSONAL DETAILS
Surname: _______________________ Forenames: ___________________________________________
Address: _____________________________________________________________________________
__________________________________________________________Post code:___________________
Email address: _________________________________________________________________________
Home tel no. ________________________
Mobile no.______________________________________
_________________________________________________________Tel No: ______________________
Yes
No
Do you have a current driving licence?
Do you have access to private transport?
Are you available for interview on the 2 December? (If not please indicate availability that week.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
2. Referees
Please give the names and addresses of two persons who have agreed to act as referees.
(References will only be taken up when a conditional offer is made)
1st Referee
2nd Referee
Name ___________________________________
Name ______________________________________
Address _________________________________
Address ____________________________________
________________________________________
___________________________________________
Occupation ______________________________
Occupation _________________________________
Tel No. _________________________________
Tel No. ____________________________________
Email Address: ___________________________
Email Address: ______________________________
3. HIGHER / FURTHER EDUCATION & QUALIFICATIONS
Higher / Further
DATES
Attendance
Exams, Degrees & Qualifications
Education/College
Full-Time Day
Indicate the year, the type of exam and the subject
Release
and grade obtained
FROM TO
Evening etc
A. Higher / Further education
B. Professional or Technical Training or Qualifications
4. ARE YOU A MEMBER OF ANY PROFESSIONAL BODIES? If Yes, please give details
5. EMPLOYMENT HISTORY / VOLUNTARY POSITIONS HELD:
Please give details of your work and/or voluntary positions held over the last ten years. Start with your
present/most recent post. (Continue on the next page).
EMPLOYER
FROM:
DATE/
MONTH/
YEAR
TO:
DATE/
MONTH/
YEAR
POSITION – Include information about
your relative position in the organisation
and responsibilities exercised
Reason for Leaving
5. WORK HISTORY: Continued
EMPLOYER
FROM:
DATE/
MONTH/
YEAR
TO:
DATE/
MONTH/
YEAR
POSITION – Include information about your relative
position in the organisation and responsibilities exercised
Reason
for
Leaving
SKILLS/ COMPETENCIES
6. Essential Criteria 1 - please demonstrate how you meet the following criteria, ensuring that you fully address
each sub-heading listed below

Strategic / Analytical Thinking – Provide an example where you successfully used your strategic /
analytical thinking skills. What was the situation, what did you do and what was the outcome?
(400 words max.)
Essential Criteria 2 - please demonstrate how you meet the following criteria:

Working in a team – Provide an example where you successfully used your skills to work effectively as part
of a team. What was the situation, what did you do and what was the outcome?
(400 words max.)
Essential Criteria 3 - please demonstrate how you meet the following criteria:

Communication - Provide an example where you successfully used your verbal and written communication
skills. What was the situation, what did you do and what was the outcome?
(400 words max.)
Essential Criteria 4 - please demonstrate how you meet the following criteria:

Commitment to core values – Provide an example that demonstrates your understanding of – and
commitment to – an organisation’s core values, ideally in a community or not-for-profit context. What was the
situation, what did you do and what was the outcome? (400 words max.)
7. ADDITIONAL INFORMATION
Please provide any other information which may be of interest in considering your application.
(500 words max.)
8. DATA PROTECTION:
During your period of employment and for as long a period as necessary following your employment, NIFHA will hold
and process both electronically and manually, the data it collects in relation to you for the purposes of NIFHA
administration and management of its business.
9. RELATIONSHIP TO COMMITTEE MEMBER OR EMPLOYEE OF NIFHA
To the best of your knowledge are you related to any Board Member or employee of NIFHA?
Yes
No
If yes, what is the nature of that relationship? _____________________________
__________________________________________________________________
__________________________________________________________________
10. CONFLICT OF INTEREST DECLARATION
Have you, or your immediate family, any business / other interests / personal connections that might cause
embarrassment to NIFHA or be construed as being in conflict with the position for which you have applied?
Yes
No
If yes, please detail? ________________________________________________
__________________________________________________________________
__________________________________________________________________
N.B.
Applicants will be asked to make a commitment to the Principles of Public Life
Any potential conflicts of interest detailed above will not prevent you from being called for interview but may, if
appropriate, be explored with you at that time to establish how you would address the issue should you be
successful in your application.
11. Please give details of any criminal conviction
12. Declaration
I hereby declare that the information given in this application is, to the best of my knowledge, true and correct.
I also agree that any misrepresentation by me will lead to the withdrawal of any offer of employment or my
employment being terminated without any obligation or liability to NIFHA other than for services rendered.
I understand that failure to complete any part of the application procedure, including all forms, may disqualify me
from further consideration for the position.
I consent to personal data being processed as stated above.
Signature:
Please return completed forms to :
Date:
Lucinda McMurran at [email protected]
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