Application for Employment /Selection
Northumbria Police recognises that by recruiting, retaining and developing a workforce that reflects its communities, it is better able to respond to, and develop the trust of, those communities. Our aim is to deliver equality of treatment in the workplace and in service delivery through integrity, consistency and fairness.
APPLICATION FOR THE POST OF / EXTERNAL / REF. NO.1. PERSONAL INFORMATION
Family Name: / First Names:Previous Name(s): / Home Tel No:
Marital Status: Married / Alternative Tel No:
Address:
(Provide previous address in past five years on a separate sheet if applicable) / e-mail address:
National Insurance Number:
(To be provided in all cases)
Date of Birth:
Place and Country of Birth:
Are you an existing member of Northumbria Police?
If a commonwealth citizen or a foreign national, is your stay in the UK free of restrictions?
Pers. 7a (02/2009) 7
Application for Employment /Selection
CAUTIONS, ARRESTS & CONVICTIONSPlease enter details of any cautions, arrests, and/or convictions for any offence (including traffic convictions and appearances before a Court Martial) or formal cautions by Police for any offence (including cautions as a juvenile) or any Court. You must include spent convictions under Rehabilitation of Offenders Act 1974 (by virtue of the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975). If you have been convicted or cautioned you may still be eligible for appointments depending on the nature and circumstances of the offence. However, failure to disclose details may lead to rejection/termination of your application/ employment.
Date / Offences / Court/police station/unit which dealt with the matter / Result
Enter details of any charge or summons at present outstanding Against you
Date of alleged offence / Nature of alleged offence / Court/police station/unit dealing with the matter
MEMBERSHIP OF BRITISH NATIONAL PARTY OR SIMILAR
Are you or have you been a member of the British National Party or similar organisation whose constitution, aims, objectives or pronouncements may contradict the duty to promote race equality?
NO
DECLARATION
You must complete this declaration as part of the vetting process:
I confirm that have read and understood the Recruitment Information Pack and allow Northumbria Police to carry out the necessary pre-employment checks as stated.
I confirm that the information provided is complete, accurate and current to the best of my knowledge and belief.
I understand that if this is found not to be the case the application will not be progressed and any offer of appointment will be withdrawn.
I consent to this information being submitted for checking against records held by the Police.
I will undertake to notify the Force Vetting Unit, at the earliest opportunity, of any material changes or additions to the information provided.
I declare that the information provided is complete, accurate and current to the best of my knowledge and belief.
I understand that if I knowingly make a false statement or deliberate omission in the information provided, I may be disqualified from working in a designated post on this or any future occasion and/or may be liable to disciplinary action.
I also understand that the information provided as part of the vetting process will be treated in the strictest confidence, but will not be immune from disclosure and consideration in respect of serious disciplinary or criminal matters that may be revealed through or facilitated by vetting operations. Where this is the case information provided in this questionnaire may be disclosed in any subsequent proceedings.
Signed...... Date
2. EMPLOYMENT MONITORING INFORMATION
Northumbria Police is fully committed to working towards being an equal opportunities employer and is determined to ensure that no job applicant or employee receives less favourable treatment on the grounds of gender, marital status, civil partnership, colour, race, nationality, ethnic or national origins, disability, transgender, sexual orientation, religion or age. We also seek to ensure that employees are not subject to any form of harassment.
Discrimination is not always intentional or overt, therefore the Diversity Policy and Procedures of the force will be constantly monitored to ensure that equality of opportunity is properly observed and where barriers are identified, any necessary changes will be made.
To implement and monitor the effectiveness of its Diversity Policy, Northumbria Police, in accordance with the Codes of Practice issued by the Commission for Racial Equality, the Equal Opportunities Commission and the Disability Rights Commission, records the ethnic origin, sex and disability status of people who apply for appointment. We would therefore be grateful if you would complete the below.
The provision of this information is entirely voluntary and completion or otherwise will in no way prejudice your application. This section of the form with be detached from your application and is for statistical purposes only.
1 Date of Birth ______
2 Gender Female o Male o
3 Marital Status Single o Separated o
Married o Divorced o
Widowed o Civil Partner o
4 Nationality ______
5 I would describe my ethnic origin as:
A. White - British W1 o I. Asian - Pakistani A2 o
B. White - Irish W2 o J. Asian - Bangladeshi A3 o
C. Any other White background W9 o K. Any other Asian background A9 o
D. White and Black Caribbean M1 o L. Black - Caribbean B1 o
E. White and Black African M2 o M. Black - African B2 o
F. White and Asian M3 o N. Any other Black background B9 o
G. Any other Mixed background M9 o O. Chinese O1 o
H. Asian - Indian A1 o P. Any other ethnic group O9 o
Not Stated NS o
6 Do you consider yourself to have a disability as defined by the Equality Act 2010?
Definition: “A physical or mental impairment, which has a substantial and long-term adverse effect on the ability to carry out normal day-to-day activities.”
NO
If yes, you will be asked at a later stage if you need us to make any reasonable adjustments for assessment and/or interview. If you wish to discuss any concerns about the application process, please contact the Recruitment Unit on (01661) 864273.
7 Religious beliefs/Faith: Buddhist o Hindu o
Christian o
(State denomination if you wish)
Jewish o Muslim o
Sikh o None o
Other
Prefer not to say o
8 Sexual Orientation: Heterosexual o Gay Man or Woman o
Bisexual o Prefer not to say o
How did you become aware of this vacancy?
The Evening Chronicle o Jobcentre o
Internal Bulletin o Word of Mouth o
Northumbria
Police Website o
Careers Office o Family/Friends o
Recruitment Event o
Please state which one
Other o
(Please state) ______
Have you attended and Northumbria Police Publicity Event?
If Yes, where (please include date if known)?
Vacancy Title : / EXTERNAL / REF. NO.SELECTION PACK
APPLICANTS ARE REQUESTED TO COMPLETE
ALL OF THE FOLLOWING SECTIONS
FAILURE TO DO SO MAY RESULT
IN YOUR APPLICATION BEING REJECTED
3. EMPLOYMENT HISTORY
Job Title: / Salary
Direct Manager’s Name / Direct Manager’s Address
Contact Number:
Direct Manager’s Title
PREVIOUS ROLE(S) IN THE LAST THREE YEARS (most recent first)
Name and Address
of Employer / Date From / Date
To / Position Held and Salary / Reason for Leaving
4. EDUCATION AND QUALIFICATIONS (most recent first)
Schools/Colleges/University attended(Name & Addresses) / Qualification Obtained & Subject / Grade/Result
RELEVANT TRAINING
Schools/Colleges/University/ Course Provider / Course Title
INFORMATION ON MEMBERSHIP OF PROFESSIONAL BODIES
Level of Membership / Name of Body/Institute
DRIVING LICENCE
Do you hold a current driving licence
If Yes, indicate the category of licence
5. EVIDENCE OF ACHIEVEMENT
5a. Please describe, with evidence, the relevant skills and/or transferable experience you consider makes you suitable for the role. (500 Words maximum)Pers. 7a (02/2009) 7