Leicestershire Police Support Volunteer Application Form

Leicestershire Police Support Volunteer – Application Form

Applicant Full Name: -

Preferred Location: -

Hours and days available: -

LEICESTERSHIRE POLICE

Police Support Volunteer
REGISTRATION FORM

Please return form to:

PERSONAL DETAILS

Last Name:

First Name(s):

Surname at Birth:
Any other Surnames used:

Title Mr/ Mrs/ Miss/ Ms: Male/ Female:

Address:

County: Postal Code:

Tel. No: ______E-Mail: ______

Date of Birth:

Place of Birth: Nationality:

Martial Status:

Name of spouse:

Spouse DOB:

Children: (Name/ DOB/ Gender):

Next of Kin and contact No. for emergency (Name/ Relationship to you/ Contact Address/ Tel)

Type of Voluntary Work

I would like to become involved with: -

Please use this space to indicate any skills you have which you believe could be of benefit to Leicestershire Police:

Opportunities are varied and will be arranged and agreed with the Local Policing Unit (LPU) managers at the time of Interview.

Do you have any previous voluntary work experience? YES / NO

If 'YES', please give details below.

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The following information is necessary for security checks to be carried out in accordance with HM Government and Leicestershire Police Security & Vetting Policies. These will only be undertaken if your registration to become a Volunteer is progressed, following interview.

Former Addresses:

Vetting Policy

In accordance with HM Government’s Vetting Policy, Leicestershire Police is required to carry out security checks on all individuals to be employed as police staff members.

In order to facilitate this requirement, a detailed security questionnaire is required to be completed by applicants. This will cover the applicant and his/her immediate family.

The information contained within the questionnaire enables a number of checks, including the National Collection of Criminal records and relevant departmental and Police records, Security Service Records and Credit Reference checks with a review of personal finances to be undertaken.

It is the policy of HM Government that no one should be employed who is or has been in, or associated with:

·  espionage; terrorism; sabotage;

·  actions intended to overthrow or undermine Parliamentary democracy by political, industrial or violent means;

·  or, is or has recently been a member of any organisation which has advocated such activities;

·  or associated with any such organisation or any of its members in such a way as to raise reasonable doubts about his/her reliability;

·  or is susceptible to pressure or improper influence, for example because of current or past conduct;

·  or has shown dishonesty or lack of integrity which throws doubt on their reliability;

·  or has demonstrated behaviour or is subject to circumstances which may otherwise indicate unreliability.

Please note that failure to disclose relevant circumstances or information will be regarded as evidence of unreliability and will be taken into account in assessing suitability for security clearance. It is therefore vital to be open and honest in replies to the questions set out in the security questionnaire.

Vetting Information

Please tell us about your family (wherever they live), and any other persons above the age of 10 living at your address. Continue on a separate sheet if necessary. Please ensure all sections are completed to avoid any delay.

Financial Information

Complete these questions in respect of the last 6 years

- 1 –

Leicestershire Police, HR Service Centre

St John's, Enderby, Leicester, LE19 2BX

Telephone 101 extension 2657

Email

www.leics.police.uk/careers

Leicestershire Police Support Volunteer – Application Form

Convictions and Cautions

1.  Have you ever been convicted of a criminal offence?

Yes* No

You must declare below any convictions, cautions, summons or fixed penalty notices. This includes traffic offences, receipt of an absolute/conditional discharge or bind over. Receipt of a reprimand, warning, final warning or caution as an adult or juvenile. Being subject of a football spectator banning order, anti-social behaviour order, and risk of sexual harm order or harassment order. Fixed penalty notices for disorder or any other offence, e.g., theft.

You must also declare any investigations (both in the UK and abroad) either by police, military and or other statutory prosecuting authorities (e.g. Inland Revenue, Immigration) including those pending. You must also declare all spent convictions.

In addition, the following must also be declared:

Any involvement with the military authorities on disciplinary matters (whether involving a court martial or not), involvement in a criminal investigation whether or not this had led to a prosecution), being subject of ‘Service Confidence’.

*If you answered yes to the above question then please describe below.

2.  Do you associate with any person(s) (including family members) who you know or have reason to believe has criminal convictions, OR is engaged in criminal activities, OR is a person who associates regularly with such persons.

Yes* No

*If you answered yes to the above question then please describe below giving the name(s), address(es) and dates of birth of the person(s) you have contact with, if this information is known to you.

Are you aware of any circumstances or characteristics which may affect your suitability for appointment to or continued employment in the post applied for (e.g. serious medical or psychological problems, habitual use of addictive substances (drugs/alcohol), involvement in any disruptive actions that could be described as Political / Religious / Racial / Environmental, or other conduct which could make you susceptible to pressure or improper influence?

Yes* No

*If you answered yes to the above question then please describe below

Rehabilitation of Offenders Act, 1974

REHABILITATION OF OFFENDERS ACT, 1974

Have you ever been involved in any actions that could be described as politically, religiously, racially or environmentally disruptive actions?

No

Yes*

Are you a member of the British National Party?

No

Yes*

Are you aware of any circumstances or characteristics that may impact security vetting clearance?

No

Yes*

Have you ever been involved in a criminal investigation
(whether or not this has led to any prosecution)?

No

Yes*

Do you have any criminal associates?

No

Yes*

If you answered YES to any of the above questions then please describe below:

Availability:

Please tick appropriate boxes

Employment Status:

Employed Occupation ______Unemployed/Jobseeker

Nature of Business: ______

Unwaged / Not actively seeking work Retired Student

Details of Current Employer/ Education:

Referees:

Please could you give the names and addresses of two people (not related to) to whom we could apply for a written reference:

Please note that this section does not apply if we have already received references from you.

Driving Licence:

For Volunteer drivers only: Please indicate type of driving licence held

Full Full / Advanced driver Restricted

Number of Years Licence held:

Public Service Vehicle / PSV Heavy Goods Vehicle Type:

Additional Information:

Please note because of the nature of the volunteer placements mentioned overleaf, all Volunteers will be required to undergo a Police check. This can be a lengthy process and we are grateful of your patience and enthusiasm.

All volunteer placements require medical clearance. (You will receive a form to be completed by your GP at a later date.)

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I confirm that to the best of my knowledge and belief the details I have supplied are true and correct. I understand that if it is subsequently discovered that any statement is false, any placement offered would be withdrawn. Any changes in your personal circumstances must be informed to the HR Service Centre to ensure the data held is kept up to date.

______

Signature Date

Full Name:

(Please print)

EQUAL OPPORTUNITIES MONITORING FORM

Leicestershire Police is committed to equal opportunities and seeks to ensure that in its provision of services in general, and as an employer in particular, it will offer equality of opportunity. Strictly and solely in order that the Police can monitor implementation of this principle with regard to employment, all applicants are required to complete this form which is a part of the registration process. The information given will not be used during the process of selection and will be retained by the HR Service Centre for monitoring purposes.

Please tick only one box, which you feel most appropriately, identifies your ethnic group. An ethnic group is a group of people who share certain background characteristics such as language, culture and religion. This provides them with a distinct identity as seen by themselves and others. Your nationality, place of birth or citizenship does not necessarily reflect your ethnic group.

Disability Status:

Do you consider yourself to have a disability? Yes: No: