APPLICATION TO TRANSFER

CITY OF LONDON SPECIAL CONSTABULARY

NAME OF APPLICANT:

RANK APPLYING FOR:

  • Please read ALL of the documentation before completing this application form.
  • Please refer to the City of London Police Eligibility Criteria for Special Constables to ensure you are eligible to transfer to the City of London Special Constabulary
  • This form should be hand written in black ink or completed in 12 point typeface
  • You are required to complete all sections of the form. You can increase the space for each question if you require more room although candidates are asked to be concise.
  • It is your responsibility to ensure that your application is submitted and received on time.
  • Appointment is subject to fitness, medical and security vetting, in line with City of London Police policies.
  • Data Protection Act 1998 – Please note that the information you provide in this application form will be entered into a manual and computerised recruitment system and is covered by the Data Protection Act 1998.

PART 1 – ABOUT YOU

Title
(Mr, Ms, Mrs, Miss, Dr) / Surname
Previous surname(s) / Forenames
Previous forename(s)
Date of Birth
Town and country of birth
Home Address
Since…………. Postcode
Telephone (Home) / Telephone (Mobile)
Telephone (Work)
Email address
National Insurance number

DISABILITY

The Equality Act 2010 makes it unlawful to discriminate against a disabled person in all areas of employment including recruitment. Disability is defined as ‘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’.

Do you have a disability you wish us to know about at this stage? Yes/No

If yes, please provide details of any reasonable adjustments that have been agreed to enable you to carry out your job.

Have you previously required reasonable adjustments to be made for you to carry out your role as a police officer? If so, please provide details.

MISCONDUCT, COMPLAINTS AND PERFORMANCE ISSUES

Are you currently involved in any complaint or misconduct enquiry? Are you subject to any performance monitoring? If YES, please provide brief details. We will contact your force for verification.

FINANCIAL POSITION

Schedule 1 of Police Regulations 2003 states that members of a police force shall not wilfully refuse or neglect to discharge any lawful debt. See Guidance Note 3.

YES/ NO / Details (inc. dates)
Have you had any Court action taken against you for any debt?
Have you been party to a voluntary agreement registered with the County Court?
Has a County Court / Tribunal Judgement been made against you?
If YES, has this been cleared?*
Have you ever been registered as bankrupt?
If YES, have your bankruptcy debts been discharged?*
Are you in arrears with any existing loan/mortgage/hire purchase agreement?
Have you ever had any form of loan terminated, including bank/ credit/ cheque/ store card withdrawn?
If YES, please give full details.
Have you had repossession proceedings commenced against you?
Have you consolidated all your debts with one lender?
Is there currently an attachment of earnings against your salary?

*If applicable, please provide a Certificate of Satisfaction

BUSINESS INTERESTS (Special Constables [Amendment] Regulations 2012)

Do you hold any business interests in addition to your main employment, or do you, your spouse, partner or a relative own or run a business which requires a licence e.g. (liquor, gaming, refreshment house or entertainment)? If YES, provide details.

BNP, NATIONAL FRONT, COMBAT 18 AND OTHER SIMILAR ORGANISATIONS

Are you or have you ever been a member of BNP, National Front, Combat 18? YES/ NO

TATTOOS

Do you have any tattoos on your hands, neck, forearms or face? YES/ NO

If Yes, describe their nature and location.

REFEREES

Please give names and addresses of two referees.

Referee One – Your Employer
Address:
Telephone:
Email: / Referee Two – Your Force’s HR Contact Details
Address:
Telephone:
Email
May we contact this referee now?
YES/NO / May we contact this referee now?
YES/NO

PART 2 – YOUR SERVICE AS A SPECIAL CONSTABLE

Which force are you currently serving in?
Force Headquarters address
Postcode: / Serving Station address
Postcode:
Force Identification Number (e.g. warrant number)
Do you have Independent Patrol Status? YES/NO
Have you completed 200 hours service in the previous 12 months? YES/NO
Please provide evidence (i.e. a print off from Duty Management System)
Have you maintained your personal safety and first aid training? YES/NO
Current rankwithin force
Current role within force
Please give a brief description of your present role, duties and responsibilities.
Previous Forces
Dates / Force / Rank / main duties / Reason for leaving
From / To

PART 3 – YOUR EMPLOYMENT HISTORY

Present or last employment
Post:
Name and Address of Employer:
Date Commenced:
Outline of main duties:

Previous employment

Starting with your most recent job, please give a summary of all employment, including any relevant unpaid work.
Dates / Employer / Post Title / main duties / Reason for leaving
From / To

PART 4 – QUALIFICATIONS AND SKILLS

QUALIFICATIONS

Please give details of other academic or vocational qualifications. Start with the most recent.

Qualifications and level
E.g. A Level Physics (C) ; BScHons Psychology (2.1) ; BTEC Business & Finance (Merit) / Date attained:
Professional qualifications and level / membership
E.g. Financial Investigation accreditation / Date attained

OTHER SKILLS AND ACTIVITIES

Please tell us about any other skills you have, such as language skills or any voluntary or community activity you are involved in.

PART 5 – COMPETENCY-BASED QUESTIONS

PART 6 – SUPERVISOR TRANSFEREE QUESTION

PART 7 – DECLARATION

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.

I understand that:

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

• 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.

• Any offer of appointment will be subject to satisfactory references, health checks and continued good conduct.

• A Special Constable 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 confirm a sample of my DNA has been taken in my current force. (PSNI and Scottish forces do not currently take officers' DNA).

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

• The Chief Officer retains the right to reject any application without giving reasons.

Signature:

Date:

EQUAL OPPORTUNITIES: CLSC TRANSFEREE

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, intimidation, 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, disability, creed or religion.

• 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 transfer. The information supplied will be treated in the strictest confidence and will not affect your transfer in any way. Completion of this section is voluntary, but the information will help us ensure equality of opportunity. This information forms no part of the transfer process. It will be detached from your form on receipt.

1. / Age / 2. / Gender
18 – 25 25 – 35 35 - 55 / Male / Female
3. / Disability
Yes No
4. / Ethnic Origin
a / Asian / b / Black / c / Chinese
Asian – Bangladeshi / Black – African / Chinese
Asian – British / Black – British
Asian – Indian / Black – Caribbean / d / Irish
Asian – Pakistani / Any other Black background
please specify / Irish
Any other Asian background
please specify:
e / Mixed / f / White / g / Other Ethnic Group
Asian & White / White British / please specify:
Black & White / White European Union
Any other mixed background / Any other White background / …………………………..
please specify: / please specify:
5. / Religious Belief/ Faith
a / None / No religion / d / Hindu / g / Sikh
b / Buddhist / e / Jewish / h / Other
please specify:
c / Christian / f / Muslim
6. / Sexual Orientation
Bisexual Gay/ Lesbian Heterosexual Prefer not to say