application form for appointment in a police staff role · web viewi have served/am serving in...

Personal details (see note 1)Family name (e.g. surname) Surname at birth/

previous surnames/

maiden name (if different) Forename(s) Preferred name Title (e.g. Mr, Ms, Mrs,

Miss, Dr)

Date of birth Age Town and country of birth

Current address

Postcode Date of start of occupancy (month/year) Email address (To proceed with your application, you must have a valid email address which we can use to contact you)

Telephone numbers Home Work (if convenient)(including area code)

Mobile

National Insurance number

Do you have a driving licence? YES NO If YES Driving licence number and category (full or provisional)

Name(s):

Position applied for:

Reference number:

Application form for Police Staff

It is essential that you read all the guidance notes. You must complete all sections of this form in person, in type-face. Use continuation pages only where allowed and clearly mark which questions they refer to. Please put your full name at the top of each continuation sheet. Sections that do not apply to you should be clearly marked N/A.

DATA PROTECTION ACT 1998 - The information you provide in this application form will be entered into a manual filing system and onto a computerised recruitment system and as such is covered by the rules set out by the Data Protection Act 1998. The data will be used to assess your suitability to join the Police Service and may be shared by other police-related organisations in the United Kingdom in respect of any recruitment applications you make. The information you provide may also be shared with other police-related organisations for monitoring purposes.

Section 1 About you

DisabilityThe Equality Act 2010 prohibits discrimination, victimisation or harassment in employment, including recruitment.The Police Service welcomes the recruitment of people who have disabilities.

In support of your application, please let us know if you believe there are any reasonable adjustments we should be making to enable you to do the job or assist with your application. If you have dyslexia you will need to provide a copy of your dyslexia assessment to help us understand the reasonable adjustments that are required.

NationalityIn order to be eligible, you must be a British citizen or a citizen of a country that is a member of the European Economic Area,or Switzerland. Commonwealth citizens and foreign nationals who are resident in the UK and free from restrictions are also eligibleto apply.

What is your nationality?

If you are a Commonwealth citizen or other foreign national, is your stay in the UK free of restrictions?YES NO

If you are a Commonwealth citizen or other foreign national, you will be required to provide a copy of your passport showing that your stay in the UK is free of restrictions. If you proceed to interview, you will be required to bring a copy of your passport at this stage.

Tattoos

Do you have any tattoos on your hands, neck, forearms or face? Yes No

If YES, describe their nature and location.

Membership of BNP or similar

Are you or have you ever been a member of the BNP or similar organisation whose constitution, aims, objectives or pronouncements may contradict the duty to promote race equality? Yes No

Business Interests

Do you currently have a job or business interest which you intend to continue should you become a police staff employee? Yes No

If YES, please state the nature of this job or business and the extent of your involvement (e.g. actively involved, non-executive director). Please include the hours per month spent on it.

Do you or your spouse or any relative living with you own or run a shop or business which requires a licence (e.g. liquor, gaming, refreshment house or entertainment)?

Yes No

If YES, please give full details.

Section 2 About your employmentWe will contact your current and past employers over the last five years for references. Please provide the details of the person we should approach. Please account for any gaps in employment.Present or most recent employmentEmployer’s name and address

Position held

Date started Date left/notice period

Reason for leaving May we contact this employer now? YES NO

Email address Telephone number

Previous employment

Start with the most recent. Continue using the continuation sheets provided if necessary.

Employer’s name and address Telephone number

Email address

Postcode Position held Date started Date left

Reason for leaving


Email address

Postcode Position held Date started Date left

Reason for leaving


Email address

Postcode

Position held Date started Date left

Reason for leaving

Have you ever been dismissed from previous employment as a result of your conduct or capability? If so, please give details.

Referees

Please give names and addresses of two referees who you have known for at least three years. These should not be employers, as we will already be contacting them.

Referee 1: Referee 2:

Name Name

Address Address

Postcode Postcode

How do you know this person? How do you know this person?

Telephone Telephone Email Email

May we contact this referee now? YES NO

May we contact this referee now?YES NO

HM Forces

I have served/am serving in the:Royal Navy / Merchant Navy / Royal Air Force / Royal Marines / Army / Territorial Army (tick as appropriate).

Other, please state

Service number

Rank/Rating

Commanding Officer

Unit and unit address

Postcode

Telephone Served from/to

Expected date of discharge Reason for discharge

Are you liable for further service as a Reservist? YES NO

If YES, please give details of Reserve liabilities.

Previous applications to, or service with, a police force

a) Please give details of any previous service in any police force in the UK, for example, as police officer, special constable, police community support officer, volunteer, support staff or cadet.

Dates of service from/to(month/year)

Force(Warrant No.)

Position held Reason for leaving

b) Other than at (a), please give details of any previous or current applications to any police force in the UK, for example, as constable, police community support officer, special constable or support staff.

Month/year of application Force Position applied for Result and details

Your education

Please give details of schools, colleges, university or other institutions attended since the age of 14. Start with the most recent and work backwards. Continue using the continuation sheets provided if necessary.

Name and address of school/college/university(include the postcode and telephone number, if known)

Attendance from/to Full/part-time

Your qualifications and training

Please list all your qualifications including vocational and professional qualifications, short courses and relevant in-house training. Also include details of examinations/qualifications due to be taken. Start with the most recent. Continue using the continuation sheets provided if necessary.

Examination type and subject (e.g. GCSE Geography) Date passed/due to be taken Grade (e.g. Merit, 2:1, A*)

Section 3 About your education and skills

Knowledge, Skills and Experience

We are looking for evidence of skills and qualities you have, or may develop that are required for the post. .

Please give details of your relevant knowledge, skills and experience which demonstrate your suitability for this position.

Your other activities

Please tell us about any other skills you have such as driving or language skills and any voluntary or community activities you have been involved with.

Information Technology Skills

Please give details of what computer systems applications you have used and what IT experience you have.

Financial position

Unless otherwise stated, complete these questions in respect of the last six years. If YES, you must provide full details (including dates). Failure to disclose accurate information may result in your application being terminated.

YES NO Details (including dates)

Have you had a loan arrangement terminated by a bank/building society/finance house/other?

Have you had a credit/charge/store or cheque card withdrawn or notified that a card or account had been defaulted?

Are you in arrears with any existing loan/mortgage/hire purchase agreement?

Have you ever been registered as bankrupt?

If YES, have your bankruptcy debts been discharged?*

Have you had any court action taken against you for any debt?

Have you been party to an Individual Voluntary Agreement(IVA), Debt Referral Order (DRO), Debt Management Programme or a voluntary agreement registered with theCounty Court or a Sheriffs Court or Court of Session Judgement in Scotland?

Has a County Court judgment or Sheriffs Court or Court of Session Judgement in Scotland been made against you on financial matters?

If YES, has this been cleared?*

Have you been the subject of an attachment of earnings order?

Have you had repossession proceedings commenced against you?

Have you consolidated all your debts with one lender?

* If applicable, you will be required, at a later stage, to provide a Certificate of Satisfaction.Please state below if there is any further information relating to your financial position that you should bring to our attention.

Previous addresses

Please give all addresses at which you have lived over the last five years. These must include details of home addresses, halls of residence or term-time addresses. Start with the most recent. Do not include your current address. Continue using the continuation sheets provided if necessary.

Full address Postcode Approximate datesfrom (month/year) to (month/year)

1.

2.

3.

4.

For office use only

About your family

Please tell us about your family (wherever they live) and any other persons (aged 10+) living at your address. Provide full names including any middle names, previous family or surnames and maiden names. You should make it clear what their relationship to you is, i.e. if you are referring to your full sister you should delete brother, half and step. Continue using the continuation sheets provided if necessary. Please complete all sections or your application will be delayed.

Relationship to you(delete as appropriate)

Full name(include previous surnames and name at birth, if different)

Full address(include postcode, and date moved to address, if known)

Yourself

Date and place of birth

Your spouse or partner


Your ex-spouse or ex-partner, if still in regular contact


Your father


Your stepfather or mother’s partner


Your mother


Your stepmother or father’s partner


Your brother or sister(full/half/step etc)


About your family (continued)Relationship to you(delete as appropriate)

Full name(include previous surnames and name at birth, if different)

Full address(include postcode, if known)







Your spouse’s or partner’smother/stepmother etc


Your spouse’s or partner’s father/stepfather etc


Your spouse’s or partner’smother’s spouse or partner


Your spouse’s or partner’sfather’s spouse or partner


Your child/child of partner (only state if aged 10+)


Your child/child of partner (only state if aged 10+)


Other persons (aged 10+) living at your address (e.g. lodger)Please state relationship to you


Criminal historiesConvictions or cautions will not necessarily preclude you from appointment. It will depend on their nature and the circumstances of the offence. Failure to disclose convictions or cautions will, however, result in your application being refused.

You must declare all convictions for any past offences, formal cautions by the police (including cautions as a juvenile, i.e. under 18 years) and any bind-overs imposed by any court. You should include traffic convictions such as speeding, drink-drive offences, fixed penalties for motoring or disorder offences, anti-social behaviour orders and any appearances before a court martial.

You must also declare any charge or summons currently outstanding against you.

You must include spent convictions under the Rehabilitation of Offenders Act 1974 (by virtue of the provisions of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975) or any involvement with civil, military or transport police.You must also declare if you have ever been involved in any criminal investigation whether or not this led to prosecution (either of yourself or others).

Some applicants do not declare information which they believe is no longer held on record. However, our enquiries will reveal incidents from long ago and failure to disclose these will lead to your application being rejected. If you have any doubts, include the details and let us decide if they are relevant.

We will also want to know whether any of your close family or associates are involved in criminal activity and we will therefore search for any criminal convictions or cautions recorded against them. You must advise them that these enquiries will be made. The Police Service cannot disclose the results of these enquiries to you.

Have you ever been convicted for any offence or had formal cautions by police for any offence or any bind-overs imposed by any court? (You must include traffic convictions, fixed penalties for motoring or disorder offences, anti-social behaviour orders and any appearances before a court martial. Any cautions as a juvenile should also be included.) If you have answered YES, please enter full details below.

YES NO

Date(most recent first)

Offence/alleged offence

Result(if known)

Court/police stationinvolved

Criminal histories (continued)Do you have any impending prosecutions?

YES NO

If YES, provide full details.

Have you ever been involved in a criminal investigation (whether or not this led to any prosecution)?YES NO

If YES, please give details below.

Have you ever been associated with criminals? YES NO

If YES, please give details below.

FOR OFFICE USE ONLY – HR Managers – please complete the followingSubmitted by:

Name LPU Date

West Midlands Police is committed to the employment and career development of disabled people.

To demonstrate our commitment we use the Disability Symbol, which is awarded by the Employment Service. As a symbol user, we guarantee an interview to anyone with a disability whose application meets the essential criteria for the post.

How do I inform you of my disability?Simply complete the declaration below.

Please indicate if there are any reasonable adjustments we could make to assist you in completing your application form.

Are there any arrangements we could make to assist you to complete a series of selections tests?

Are there any arrangements we could make to assist you if you are invited to attend for interview or a medical?

We will try to provide access, equipment or other practical support to ensure that people with disabilities can complete on equal terms.

DECLARATION

I agree with the above statement.

Name: Date:

If you do not hear anything further within four weeks of the closing date for receipt of applications, please assume that you have been unsuccessful.

Section 4 Guaranteed Interview Scheme

I declare that all the statements I have made in this application are true to the best of my knowledge and belief and that no relevant information has been withheld.

Please put a cross in the boxes to indicate your understanding and agreement.

I understand that:

A conditional offer of appointment will be subject to fingerprints and a DNA sample being taken and checked against the relevant databases

If I am appointed my fingerprints and a sample of my DNA will be held on record for elimination purposes.

A member of a police force who has deliberately made any false statement or omitted information in connection with his or her appointment may subsequently be liable to misconduct proceedings.

I must inform the recruitment office without delay of any change in my circumstances.

Successful candidates must serve wherever required to do so within the force area.

Criminal conviction checks will be made against myself and my family members and I have informed them of this.

The chief officer retains the right to reject any application without giving reasons.

Financial checks will be undertaken to verify my financial status and that all such information will be treated in confidence. I consent to these checks being made.

The information I have provided may be held on manual filing and computer systems as part of the recruitment process. I understand that this information may be shared by other police forces.

Formal disclosure of my Service Character Assessment (Armed Forces) (if applicable) will be sought and I consent to the provision of this.

No member of the British National Party, Combat 18 or the National Front – groups whose aims, objectives or pronouncements may contradict the duty to promote race equality – can join the Police Service.

Any offer of appointment will be subject to satisfactory references (I consent to references being sought) and vetting, a medical examination, drugs testing, continued good conduct and maintenance of fitness.

Print Name Date

Checklist1 Read through your completed application form carefully.

Ensure that it is clearly presented and that you have answered all the questions, marking them not applicable (N/A) where appropriate.Failure to provide accurate and complete information may result in your application being delayed or rejected.

If after reading through the recruitment material you have any remaining questions, please feel free to contact the Shared Services Enquiries Team on 0121 626 5100.Remember to keep a copy of your completed application form.

Before returning your application form please check you have done the following:

Have you included a telephone number at which you can be contacted?

If you are a Commonwealth citizen or a foreign national, have you included a photocopy of your passport with evidence that your stay here is not subject to restrictions?

Have you ticked the declaration on this page?

If applicable, have you enclosed a certificate or satisfaction?

Have you completed the finance and your family forms?

How did you hear about this job opportunity?

West Midlands Police External Website

Online Job Board. Please Specify:

Twitter

Facebook

OTHER. Please Specify:

Section 5 Declaration

The police service is an equal opportunities employer and is determined to ensure that: The workforce reflects the diverse society which it serves and that the working environment is free from any form of

harassment, information, bullying or victimisation. No job applicant or employee is treated more or less favourably on the grounds of gender, sexual orientation, age,

marital status, race, colour, nationality, ethnic or national origins, creed, religion or disability. No job applicant or employee is disadvantaged by conditions or requirements which cannot be justified by the

requirements of the job.The information on this form is for monitoring purposes only and will not be made available to those assessing your application. The information supplied will be treated in the strictest confidence and will not affect your job application in any way. Completion of this section of the application form is voluntary, but the information will help us ensure equality of opportunity. This information forms no part of the recruitment process. It will be detached from your application on receipt.

Gender Female Male European EU State Country:

Do you identify yourself as transgender? Yes No European Other State Country:

What is your sexual orientation? Other State Country:

Heterosexual/straight Gay/lesbian Bisexual Mixed / Multiple ethnic groups

Prefer not to say *Other White and Black Caribbean White and Black African

*If other, please state: White and Black Asian White and Black Asian

Are you Married or in a Civil partnership? Yes No Any other mixed background (please state)

Age 16–24 25–29 30–34 Asian British

35–39 40–44 45–49 50–54 Indian Pakistani Bangladeshi Chinese

55–59 60–64 65+ Any other Asian background (please state country)

What is your religion or belief? Asian

Buddhist Hindu Muslim Sikh Jewish Indian Pakistani Bangladeshi Chinese

Christian If yes, please state your denomination below: Any other Asian background (please state country)

Black British / African British / Caribbean British

Any other religion or belief? African State Country:

No religion or belief Caribbean State Country:

Prefer not to say Any other Black background State:

What is your ethnicity? Black / African / Caribbean

Ethnic origin categories are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong. Please indicate your ethnic origin by ticking the appropriate box.

African State Country:

White Caribbean State Country:

English Welsh Scottish Northern Irish Any other Black background State:

Irish Gypsy or Irish Traveller Please indicate the first part of your postcode ie: CV12, WV12, B13

Section 6 Equal Opportunities

application form for appointment in a police staff role · web viewi have served/am serving in...

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