Police Staff Application Pack s1

Leicestershire Police – Police Staff Application Form

Application Form
Police Staff Employee

Name:
Post Applied For:
Post Ref:

This form should be completed and emailed to:

The Data Controller for Leicestershire Police is the Chief Constable, Leicestershire Police Headquarters, St Johns, Enderby, Leicester LE19 2BX.

The purpose of data collection is for recruitment, selection and administration. The information collected will then be held as part of the personal record. If unsuccessful your paper file will be destroyed after 12 months. Once on the personal record the data will be held in compliance with our Data Retention Policy.

If at any time you require access to personal data held you can apply, in writing to the Information Security Manager, Leicestershire Police Headquarters, St Johns, Enderby, Leicester LE19 2BX quoting your name and candidate reference number. Proof of identity will also be required.

IMPORTANT INSTRUCTIONS

Before completing this form, it is advisable to read the ‘Important Notes for Candidates’. When completing this form you should refer to the person specification provided - applicants must demonstrate that as a minimum, they meet the essential criteria outlined and provide examples.

If you are unable for some reason to complete this form yourself, you may arrange for someone else to complete it on your behalf and your form should be endorsed as such, or submit an audio tape. Forms may be hand or typewritten. If you are downloading this application form, it may be printed in colour or black and white.

Leicestershire Police is an Equal Opportunities Employer. All applications are considered on the basis of their suitability for the position irrespective of sex, marital status, religion or belief, race, nationality, pregnancy or maternity, ethnic or national origin, age, sexual orientation, gender reassignment or disability. A disabled candidate whose application meets the essential (minimum) job criteria will be interviewed.

It will not be possible to interview all applicants, therefore if you have not been contacted within four to six weeks of the closing date you will regretfully have been unsuccessful on this occasion.

Please ensure you meet the following eligibility criteria before completing and submitting your application form. If in doubt please contact the HR Service Centre during office hours on 101 ext 2657. Please note this list is not exhaustive and additional criteria may apply.

Nationality

You need to be a British citizen or a member of the EC/EEA. Commonwealth citizens and foreign nationals who are resident in the UK free of any restrictions can also apply.

Foreign nationals and UK citizens who have lived abroad will need to havethree years continuous residency in the UKfor security and vetting clearance. All applicants have to be vetted to the same standard before appointment.

Criminal Record

Ideally, you should not have a criminal record but some minor offences may not exclude you. Have you ever been convicted or cautioned for any offence either as an adult or a juvenile? Do you have, or have you had any County Court Judgments against you?

Our Duty

Protecting our communities

Our duty to our communities is at the heart of everything we do and regardless of the challenges we face in the future, we will deliver the level of service demanded by the diverse communities of Leicester, Leicestershire and Rutland.

We will do this by focusing on:

·  Protecting vulnerable people

·  Dealing with those who cause most harm

·  Effectively deploying our people

·  Working with partners to solve locally identified problems

·  Trusting our people to use their judgement to make good decisions

·  Ensuring effective and efficient use of resources

1. Marketing Information

Where did you learn of this vacancy? (please tick all that apply)

Leicester Mercury newspaper
Recruiting event
Leicestershire Police website
Job Centre
Intranet (internal candidates only)
Other websites or media (please specify)

We may wish to contact you in the future about your experiences. Please indicate if you do not wish to be contacted by ticking the box below.

I do not wish to be contacted.

2. Your Details

Title: (e.g. Mr/Mrs/Miss/Ms/Dr)
Surname:
Any previous Surnames (if applicable):
Forename(s):
Date of birth:
Place of birth:
House number / name
Street name
Town / City
County
Postcode:
Telephone (Home): & (Work)
Telephone Mobile
Email Address
National Insurance No:

3. Next of Kin Details

Relationship to you:
Title: (e.g. Mr/Mrs/Miss/Ms/Dr)
Surname:
Forename(s):
Date of birth:
House number / name:
Street name:
Town / City:
County:
Postcode:
Telephone (home) & (Work):
Telephone Mobile:
Email Address:

4. Academic Qualifications

The information provided will be validated against other sources i.e. School, Universities or Awarding Bodies. Please state GCSE, RSA, etc. (or equivalent), Further Education Degree or (Professional Qualifications, etc. or equivalent).

Level / Subject (s) / Grade (s) / Dates Taken

5. Present Employer

Name of Employer:
Address of Employer:
Post Title:
Telephone Number inc STD code
Nature of Business:
Present Basic Salary:
Date of Appointment:
Period of Notice Required:
Summary of Main Duties and Responsibilities:

6. Previous Employment / Education

(Over the last five years or most recent five years of your employment). Please explain any gaps in your employment.

Employer’s Name, Address and Nature of Business / Post Title / From
Month - Year / To
Month - Year / Brief Summary of Duties

Previous employment

Do you have any disciplinary action outstanding or any disciplinary action recorded against you in your present or previous employment? / Yes / No
If yes, please give details:
Have you ever worked for the police service in the UK before? / Yes / No

7. Referees

References will be sought for all applicants which will take into account work-based performance and attendance. Prevailing legislation will apply.

Please provide two employment referees, one of which should be your current employer (or most recent). Please indicate if you give consent for references to be taken up immediately - otherwise we will ask your permission before doing so. If we require further references from previous organisations not given as referees we will contact you to request consent. Personal referees should only be given if you have not been employed or are self employed.

1 / Name
Capacity Known e.g. Line Manager
Employer
House number / name
Street name
Town / City
County
Post Code
Telephone Number
Email address
Consent / Yes No
2 / Name
Capacity Known e.g. Line Manager
Employer
House number / name
Street name
Town / City
County
Post Code
Telephone Number
Email address
Consent / Yes No

8. Relevant Experience / Information

Before completing this section, please refer to the person specification.

You must demonstrate how you meet the criteria outlined for this position, by providing examples of your experience, including any specialist work undertaken, relevant training courses and personal qualities which make you suitable for this post.

Include any voluntary work or activities undertaken and any other information, which is relevant to this position.

No assumption of experience will be made from current or previously held post titles. You must therefore provide full details.

9. Former addresses (over the past five years)

The following information is necessary for security checks to be carried out in accordance with HM Government and Leicestershire Police security and vetting policies. These will only be undertaken if you are identified as the successful applicant, following interview. Information provided will be verified against other sources i.e. Police National Computer (PNC).

Address / From (Month / Year) / To (Month / Year)

10. 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.

11. 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.

Relationship to you / Full Name
(Please include any previous/maiden names and name at birth if different) / Full Address History for last 5 Years
(Please provide to and from dates)
Yourself
Date and Place of Birth:
Your Spouse/Partner
Date and Place of Birth:
Your Father
Date and Place of Birth:
Your Mother
Date and Place of Birth:
Your Stepfather or Mother’s partner
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 Child/Child of Partner
Date and Place of Birth:
Your Child/Child of Partner
Date and Place of Birth:
Your Child/Child of Partner
Date and Place of Birth:
Your Child/Child of Partner
Date and Place of Birth:
Any other persons living at your address (e.g. lodger)
Date and Place of Birth:
Declaration
I understand that vetting will be undertaken and that I have made the other person(s) named on the form aware of their inclusion for this process; by signing this form I give consent for vetting to be carried out.
I declare that all the statements I have made in this application are true to the best of my knowledge and belief.
Date: ______Signature of Applicant:______

11a. Pre - Employment Financial Information

Complete these questions in respect of the last 6 years

Show full information in respect of all questions.
Have you had a loan arrangement terminated by a bank/building society/finance house? / Yes
No
Have you had a credit/charge
card withdrawn? / Yes
No
Are you in arrears with any
existing loan/mortgage/hire purchase agreement? / Yes
No
Have you ever been registered
bankrupt? / Yes
No
If YES, have your bankruptcy
debts been discharged? *
Have you had any Court action taken against you for any debt? / Yes
No
Have you been party to a
Voluntary agreement registered with the County Court? (IVA, Debt Referral Order (DRO), or Debt Management Programme) / Yes
No
Has a County Court / Tribunal
Judgement been made against you? / Yes
No
If YES, has this been cleared? *
Have you had repossession
proceedings commenced
against you? / Yes
No

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Leicestershire Police, HR Service Centre

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

Telephone 101 extension 2657

Email

www.leics.police.uk/careers

Leicestershire Police – Police Staff Application Form

11b. 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.

Date / Offence and Result / Court

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.

3.  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

Declaration
I consent to the information contained in this questionnaire being submitted for checking against the records of the Police and Credit Reference Agencies. I understand that the information I have provided will be treated in the strictest confidence.
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.
Date: ______Signature of Applicant: ______

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