APPLICATION FORM
_____________________________________________________________________________________________
Post Details_________________________________________________________________________________________________
Job applied for: Shared Services Executive
Where did you see this job advertised?
________________________________________________________________________________________________________________
Personal Information_____________________________________________________________________________________
Full Name:
Address
Telephone (home)
Telephone (work)
Cell Phone
Fax
Email
Salary Expectation (per annum)
Minimum expected salary:
Maximum expected salary:
ID Number:
Have you ever been convicted of a criminal offense, or been dismissed or demoted for
misconduct in your previous employment? (If yes, please elaborate)
________________________________________________________________________________________________________________
Motivation for applying for this post __________________________________________________________________
Please provide a written motivation supporting your application for this post.
_______________________________________________________________________________________________________________
Competencies______________________________________________________________________________________________
Please provide evidence that you meet the competencies required for this job. Consider each
competency and describe, with examples, how your skills, knowledge and experience match the
requirements of this specific post. If you do not match a specific requirement, you can offer
evidence of your potential to develop the relevant competence.
________________________________________________________________________________________________________________
Competency: Bachelors Degree ( Social Sciences , Administration) plus a relevant post
graduate management qualification
________________________________________________________________________________________________________________
Competency motivating: 8 years Management experience of which 5 years relevant work
experience in Senior Management role.
_____________________________________________________________________________________________________________
Competency: Experience in managing and leading support services portfolios ( Human
Resources, Communications and Research)
_______________________________________________________________________________________________________________
Competency: Prior experience in Senior Management ability (strategy planning,
performance information reporting, management of public sector governance
frameworks, financial and risk management, staff management and budget control)
_______________________________________________________________________________________________________________
Competency: Proven track record in the development and implementation of strategy and
policy aligned to achieve organizational objectives.
_________________________________________________________________________________________________
General References_________________________________________________________________________
Please provide two general references:
1.
Your current / most recent employer (or if no employer, your school / University)
Name
Job Title/Position
Telephone
Address
Fax
email
___________________________________________________________________________________
2.
Name
Previous employer (or if no employer, your school / university)
Job Title/Position
Telephone
Address
Fax
email
__________________________________________________________________________________
Declaration_________________________________________________________________________
I declare that the information given on this Application is, to the best of my knowledge and belief,
correct and complete.
Your signature
Date
If you include any details that you know to be false or if you withhold relevant information, you
may render yourself liable for disqualification from the recruitment process, or if appointed, to
dismissal.
___________________________________________________________________________________
Applicants will be shortlisted on the basis of the evidence they provide in this application form of
the competencies required for this post.