Application Form for Police Staff

RESTRICTED WHEN COMPLETE

Application Form for Police Staff

Job Reference Number:

Application for the post of:

You should complete all sections of this form in black ink or typeface. Use continuation pages where allowed and clearly mark. Please put your full name at the top of each continuation sheet. Sections which do not apply to you should clearly be marked N/A. CVs will not be accepted as part of the application process.

If you have a disability and feel you may be unable to comply with any of the above please contact the relevant personnel section. This application form is available in Braille, large print and on audiotape by request. For this service ONLY, please contact the Braille Bureau at Nottinghamshire County Council on 0115 977 3157.

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.

SECTION 1

Personal Details (see note 1)

Surname

Surname at Birth (if different

Forename(s)

Title (Mr, Mrs, Ms, Dr, etc)

Any other name(s) you are known by/have used previously

Town and Country of Birth

Current Address

Post code

Is this address multi-occupancy?(Non-family members)

Yes

|_|

No

|_|

Date of Occupancy (month/year)

Email address

Telephone number

(including area code)

Home

Mobile

Work (if convenient)

National Insurance Number

Nationality (see note 2)

What is your nationality?

If you are a Commonwealth citizen or a foreign national, is your stay in the UK free of restrictions?

Yes

|_|

No

|_|

If you are a Commonwealth citizen or a foreign national, you must include a copy of your passport which shows your stay in the UK is free of restrictions

Photocopy of passport included?

Yes

|_|

No

|_|

Have you resided in the United Kingdom for the past three years consecutively?

Yes

|_|

No

|_|

To be eligible for appointment you must be a British citizen or a member of the EC or other states in the EEA (Iceland, Norway, Liechtenstein). Commonwealth citizens and foreign nationals are also eligible but only if they are resident in the UK free of restrictions

Access to Transport

Do you hold a current driving licence?

Yes

|_|

No

|_|

Licence Number

Provisional

|_|

Full

|_|

Do you have access to private transport?

Yes

|_|

No

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SECTION 2

Present or most recent employment (see note 6)

Full name and address of

most recent employer

(including postcode)

Date

from/to

Position held

and duties

Reason for leaving/

wanting to leave

Period of notice required

Working Time Regulations

Do you have a continuing commitment to work for other employer(s)/voluntary organisations?

Yes

|_|

No

|_|

If Yes, how many hours on average each week?

Please identify the organisation

Business Interests

Do you currently have any job or business interests that you intend to continue should your application be successful?

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). Include number of hours contribution.

Previous Employment (see note 6)

Start with the most recent (continue on a separate sheet if necessary)

Full name and address of

most recent employer

(including postcode)

Date

from/to

Position held

and duties

Reason for leaving

SECTION 3

Your Education (see note 7)

Please give details of schools, colleges, university or other establishments attended, which are relevant to the post. Start with the most recent/current and work backwards. Continue on a separate sheet if necessary.

Full name and address of school/college/university (include telephone number and postcode if known)

Attendance

from/to

Qualifications gained

(state subjects and grade/level)

Full/ part-time

Your Qualifications and Training

Please list all other relevant qualifications including vocational and professional qualifications, short courses and in-house training. Please list any specialised training and membership of any professional bodies. Also include details of qualifications due to be taken. Start with the most recent. Continue on a separate sheet if necessary.

Examination/Association

Date

Stages passed/level of membership

Please note

Original documentary evidence of qualifications and/or professional registration/membership will be required at interview.

Your Other Activities

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

Information in Support of your Application (see note 8)

In order to give the best opportunity to be shortlisted, you should complete this section as fully as possible giving evidence of special skills, training and experience relevant to the post, in line with the person specification. Continue on a separate sheet if necessary.

Information in Support of your Application (continuation sheet)

Referees

Please give names and addresses of two referees, one of whom MUST be your present or last employer. If you do not have a last or current employer then an academic establishment reference or that of a person who has known you for a considerable length of time (for at least two years) will be acceptable. Please note that we will contact your employers for references covering the last three years, even if you have not listed them as a referee

Referee 1

Referee 2

Name

Name

Address

Address

Position held/relationship (if not employer)

Position held/relationship (if not employer)

Telephone

Telephone

May we contact this referee now?

May we contact this referee now?

Yes

|_|

No

|_|

Yes

|_|

No

|_|

HM Forces

Please give details of any Reservist Liabilities (including TA)

Please note that this information is purely for statistical purposes and does NOT form any part of the selection process.

Membership of BNP or Similar (see note 9)

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

|_|

SECTION 4

Declaration

I declare that all the statements made in this document are true to the best of my knowledge and belief, and understand that any false or misleading statement or omission, may render me if appointed liable to subsequent disciplinary proceedings, including dismissal.

I understand that:

I must inform the relevant personnel department without delay of any change in my circumstances.

The information I have provided may be held on both manual and computerised systems as part of the recruitment process.

Signature of Applicant

Date

CHECKLIST

Read through your completed application form carefully

Ensure it is clearly presented and 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 you have additional relevant information please feel free to include this in your application.

If, after reading through the recruitment material, you have any remaining questions, please contact the personnel team responsible for the vacancy.

Remember to take a photocopy of your completed application form. Should you require a copy of your application after the closing date, a Data Protection request will need to be submitted. A charge is levied for this service.

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 signed the security vetting and financial declaration (form G262b) and further general declaration on this page?

Have you completed the Equal Opportunities Monitoring Form?

Have you completed (where appropriate) the Competency Based Questionnaire?

Availability for Interview

Please state any dates within the next 12 weeks when you are not available to attend for interview

Marketing Form

To enable us to monitor our public relations and marketing activity, please indicate how you heard about this vacancy. Tick any that apply.

Police Officer or other police service employee

|_|

Friend/family/other word of mouth

|_|

Careers office/school/college/library

|_|

Jobcentre Plus (please state which)

|_|

Website (please state which site)

|_|

Other advertisements, articles, interviews

In local press (please state publication)

|_|

In national press (please state publication)

|_|

On radio (please state station)

|_|

At local event (please state venue)

|_|

Recruitment poster/ leaflet (please state where)

|_|

Nottinghamshire Police Positive Action evening

|_|

Job Assistance Scheme (JAS)

|_|

Other (please specify)

|_|

Please give details of any other media, interviews or articles, which prompted your application.

Please return application form to address as shown in the covering letter

Please ensure you now complete and return the Vetting Questionnaire

RESTRICTED WHEN COMPLETE

G262A Police Staff Application FormPage 1 of 9

V6.0 April 2014