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Vetting and Equal Opportunities / /VETTING INFORMATION
Name
Title (Dr/Mr/Mrs/Ms/Miss)
Application for the post of:
Job Reference Number:
Previous Addresses
Please give all addresses at which you have lived over the last five years. Start with the most recent. Do not include your current address. Continue on a separate sheet if necessary.
Full address
(include postcode, if known) / Approximate dates
from (month/year) to (month/year)
1.
Multi – Occupancy? / Yes / No
2.
Multi – Occupancy? / Yes / No
3.
Multi – Occupancy? / Yes / No
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About Your Family (see note 3)Please tell us about your family (wherever they live), and any other adults living at your address. Continue on a separate sheet if necessary. Please complete all sections or your application will be delayed.
Relationship to you
(delete as appropriate) / Full name
(include any previous surnames and name at birth if different) / Full address
(including postcode if known)
You
Date and place of birth
Your spouse or partner
Date and place of birth
Your father
Date and place of birth
Your stepfather or mother’s partner
Date and place of birth
Your mother
Date and place of birth
Your stepmother or father’s partner
Date and place of birth
Your brother or sister (full/half/step, etc)
Date and place of birth
Your brother or sister (full/half/step, etc)
Date and place of birth
Your brother or sister (full/half/step, etc)
Date and place of birth
Your brother or sister (full/half/step, etc)
Date and place of birth
Your spouse’s or partner’s mother/ stepmother etc
Date and place of birth
Your spouse’s or partner’s father/ stepfather etc
Date and place of birth
Your child/ child of partner
(only state if aged 10+)
Date and place of birth
Your child/child of partner
(only state if aged 10+)
Date and place of birth
Your child/child of partner
(only state if aged 10+)
Date and place of birth
Other adults living at your address (e.g. lodger)
Date and place of birth
As part of the vetting process applicants should advise all relevant family members (their spouse/partner, co-habitee, parents, brothers, sisters and step-relatives) that their details have been included in this application.
Convictions and Cautions (it is important that you need note 1 before you complete this section)
Have you been convicted for any offence or had any formal cautions/reprimand by police (including Military Police) for any offence or any bind-over imposed by any court? (Include traffic convictions, other fixed penalty notices e.g. public order, drunkenness and appearances before a court martial and any cautions as a juvenile.)
Yes / No
If you have answered YES, please enter details below
Date (most recent first) / Offence / Alleged Offence / Result (if known) / Court / Police Station involved
Do you have any pending prosecutions? / Yes / No
If yes please provide full details as above
Have you ever been involved in a criminal investigation or been arrested (whether or not this led to any prosecution to yourself or others) or been associated with criminals?
Yes / No
If YES, please give details below
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ALL QUESTIONS RELATE TO APPLICANTS AND, IF APPLICABLE, THEIR SPOUSE OR PARTNER.Unless otherwise stated, complete these questions in respect of the last six years.
Pre-Employment Financial Information (see note 3)
Yes / No / Show full information in respect of all questions.
Failure to do so could delay your application.
Have you had a loan arrangement terminated by a bank/building society/finance house?
Have you had a credit/charge card withdrawn?
Are you in arrears with anyexisting loan/mortgage/hire purchase agreement?
Have you ever been registered 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 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 had repossession proceedings commenced against you?
Have you consolidated your debt with one lender?
* If applicable, please provide a Certificate of Satisfaction
Have you previouslyheld any paid or unpaid posts, including voluntary work with any police force? / Yes / No
*if yes please provide full details below, including name of force(s), position(s) held, date(s) of service and reason(s) for leaving:
Declaration
I consent to the information contained in this questionnaire being submitted for checking against the records of the Police National Security and credit reference agencies. I understand that the information I have provided will be treated in the strictest confidence.
I confirm that my spouse/partner and other parties/persons named are aware that his/her details have been provided as part of the vetting process.
I declare that the information I have provided is true and complete to the best of my knowledge and belief.
I undertake to notify any significant changes or additions in the information I have provided in this form.
I understand that if I have knowingly made a false statement or deliberate omission in the information I have provided in this form, my application may be rejected.
Signature / Date
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EQUAL OPPORTUNITIES MONITORING FORMName
Title (Dr/Mr/Mrs/Ms/Miss)
Application for the post of:
Job Reference Number:
Policy Statement
Nottinghamshire Police is committed to providing equality of opportunity in terms of employment. The Policy Statement applies to all staff and applicants regardless of race, sex, pregnancy and maternity, marital status, colour, nationality, religion or belief, sexual orientation, gender reassignment, age or disability. This commitment applies to all issues affecting recruitment, training, transfer and promotion including terms and conditions of service.
To assist us in assessing the effectiveness of this policy and only for this reason, please complete the following details. This information will NOT be used in deciding your suitability for the post.
Date of Birth
Age / 16-25 / 26-35 / 36-45 / 46-55 / 56 and over
Sex / Gender / Male / Female / Other
Disability / Yes / No
Race
White / British / Irish / Any other white background
Mixed / White and black Caribbean / White and black African
White and Asian / Any other mixed background
Asian or Asian British / Indian / Pakistani
Bangladeshi / Any other Asian background
Black or Black British / Caribbean / African / Any other Black background
Chinese or other ethnic group / Chinese / Any Other
(please specify)
Sexual Orientation
Bisexual / Gay / Heterosexual / Prefer not to say
Religion or Belief
Buddhist / Christian / Hindu / Jewish / Muslim
Sikh / None / Prefer not to say / Other
(please state)
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Marketing FormTo 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.
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