Candidate ID Number NRS04510–.

Added on - 21 Sep 2019

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Candidate ID NumberNRS04510–All sections to be completed in fullAPPLICATION FORMGrade VI IT Technical SupportHealthcare Pricing Office/Activity-Based FundingNRS04510Please carefully note the following instructions:Please ensure you fully read and understand the ‘Additional Campaign Information for Candidates –Grade VI - IT Technical Support, Healthcare Pricing Office/Activity-Based Funding’ document specificto this campaign that is available onhttp://www.hse.ie/eng/staff/jobs/job_search/.Please ensure you read in full, the instructions for the completion of this application form and completeall areas, including the supplementary questions section, in full. Failure to complete all areas of theapplication form may result in you not being brought forward to the interview stage of the selectionprocess.Candidates should note that there can be a time delay in receiving email applications. We recommendthat applicants wishing to return an application by email should allow a minimum of 1 hour for theirapplication to reachrecruitmanagement@hse.ie,by the closing time of12.00 noon onThursday 26thJanuary 2017.Applicationswill notbe accepted after this date and time, no exceptions will be made.It is preferable that Application Forms are typed.Applications must be submitted as a Microsoft Word or PDF document format only. Applications storedon personal online storage sites, e.g. Onedrive, Cloud, Dropbox, Google Drive etc will not be accepted,applications submitted in other file formats e.g. Google Docs will not be accepted. Please pay particularattention to ensure that your application is attached as an attachment (not a link to an on line storagesite e.g. Google Drive) when emailing your application.In relation to details of employment, if the space provided is insufficient, please attach additional pagesensuring to use the same format.Please read the Job Specification which provides useful information about the requirements of this post.Should you be invited for interview, you may takea 'hard' copy (or 'paper' copy) of your application formwith you. Mobile devices are not permitted for use during your interview.The Health Service Executive will run this campaign in compliance with the Code of Practice preparedby the Commission for Public Service Appointments (CPSA). The Codes of Practice are available onthe CPSA websitewww.cpsa.ie. Further information is also available in the Additional CampaignInformation document available onhttp://www.hse.ie/eng/staff/jobs/job_search/.The Health Service Executive is an Equal Opportunities Employer.The Health Service Executive recognises its responsibilities under the Data Protection Acts 2003 &1988 and the Freedom of Information Act 2014.Please return completed application form to:E-mail:recruitmanagement@hse.iePost:Grainne Colreavy,HBS National Recruitment Service, HSE, Aras Slainte Chluainin,Manorhamilton, Co. Leitrim,Closing date for applications:Thursday 26thJanuary 2017 at12 noonIt is anticipated that interviews will be held:February 2017NRS04510 Grade VI – IT Technical Support, Healthcare Pricing Office/Activity-Based Funding1
Candidate ID NumberNRS04510–Applicant Details:Position Applied for:IT Technical Support – Grade VIHealthcare Pricing Office/Activity-Based FundingGrade Code 0574Position Reference No.:NRS04510Candidate Reference No(office use only)NRS04510 -Personal Details:First Name :Last Name:Postal address for correspondence:MOBILE TELEPHONE(mandatory):Contact Tel No. 2:E-mail Address(mandatory):(You may provide more than one)PPS Number (mandatory)Drivers Licence(please state type & category):European Economic AreaAre you an EEA (European Economic Area) National? Yes/ NoPlease see Appendix 2 of Additional Campaign Information document for definition of an EEA National.NBIf you are a non EEA citizen you must provide the requested documentation to support yourapplication.For further information you must read “Appendix 2” in the “Additional Campaign Information”document.Where did you see this position advertised?To help us gauge the efficiency of our advertising strategy for this campaign, the HSE would appreciate it ifyou indicated in the table below where you saw this campaign advertised.HSE website –www.hse.ieWord of mouth - my manager / colleagueNotification from HSE Talent PoolOther, please say which++ More than one indication is allowed.NRS04510 Grade VI – IT Technical Support, Healthcare Pricing Office/Activity-Based Funding2
Candidate ID NumberNRS04510–1.Superannuation SchemesAre you currently in receipt of a Voluntary Early Retirement or Ill Health Early Retirement Pension from anyof the Public Health Superannuation Schemes listed at 1-5 below, or any other Public Sector PensionScheme?Are you currently in receipt of a pension from any of the following superannuation schemes? (Thismeans have you retired?)YESNO1.Local Government Superannuation Scheme (LGSS)2.Health Service Executive Employee Superannuation Scheme3.Voluntary Hospital’s Superannuation Scheme (VHSS)4.Nominated Health Agencies Superannuation Scheme (NHASS)5.Other Public Service Superannuation SchemeIf you have answered ‘yes’ in relation to being in receipt of a pension from any of the above SuperannuationSchemes you are not eligible to apply for this recruitment campaign.Please read Appendix 4 in ‘AdditionalCampaign Information’ for further details.2.Current Contractual StatusI am currently a HSE employee*YesNoI am currently a Tusla employee*YesNoPlease tick the HSE/Tusla Area in which you workDublin Mid LeinsterSouthDublin North EastWestIf you answered yes to the above question, please choose the option below which best matches your currentcontractual status:I have a permanent contractorI have a temporary contract*HSE / Tusla Employee = you are a direct employee of the HSE or Tusla and not in a post funded or partially funded bythe HSE or Tusla3.Proficiency in IrishCandidates will be afforded the added opportunity to demonstrate their ability to perform the duties of theoffice through Irish. This assessment will be on a pass/fail basis and will not disturb the marks awarded inthe selection process. Where vacancies arise for which proficiency in Irish is a management requirement,the HSE will offer such posts in order of merit to candidates who have successfully passed the Irishassessment. Please indicate if you wish to undertake an Irish assessment exam Yes/ NoNRS04510 Grade VI – IT Technical Support, Healthcare Pricing Office/Activity-Based Funding3
Candidate ID NumberNRS04510–ADDITIONAL EDUCATIONAL ACHIEVEMENTSPlease include second level and any (additional) third level educational achievements:DatesFrom / ToEducationalInstitutionConferringBodyCourse of StudyQualificationAchievedGradesAchievedNRS04510 Grade VI – IT Technical Support, Healthcare Pricing Office/Activity-Based Funding4
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