police staff application pack police... · post applied for: post ref: this form should be...

Leicestershire Police – Police Staff Application Form

- 1 – Leicestershire Police, HR Service Centre St John's, Enderby, Leicester, LE19 2BX

Telephone 101 extension 2657 Email [email protected]

Application Form

Police Staff Employee

Name:

Post Applied For:

Post Ref:

This form should be completed and emailed to: [email protected] 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.

www.leics.police.uk/join-us

mailto:[email protected]




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 have three years continuous residency in the UK for 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.

Name

Capacity Known e.g. Line Manager

Employer

House number / name

Street name

Town / City

County

Post Code

Telephone Number

Email address

1

Consent Yes No

Name

Capacity Known e.g. Line Manager

Employer

House number / name

Street name

Town / City

2

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 the ACPO/ACPOS National Vetting Policy for the Police Community, 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 vetting questionnaire is required to be completed by applicants. This will cover the applicant and relevant third parties. 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. The Police Community is committed to the maintenance of the highest levels of honesty and integrity, and to the prevention of; corrupt; dishonest; unethical or unprofessional behaviour. The purpose of vetting is to protect the community and the organisation by ensuring that only those who demonstrate the highest standards of conduct, honesty and integrity are recruited or appointed. 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 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

In the last 6 years have you: Yes No

Show full information in respect of all questions.

Had a loan arrangement terminated by a bank/building society/finance house?

Had a credit/charge card withdrawn or defaulted?

Had arrears with any existing loan/mortgage/hire purchase agreement?

Been registered bankrupt?

If yes, have your bankruptcy debts been discharged? *

Had any Court action taken against you for any debt?

Been party to a Voluntary agreement registered with the County Court? (IVA, Debt Referral Order (DRO))

Been party to a Debt Management Programme or loan consolidation process?

Had a County Court / Tribunal Judgement been made against you?

If yes, has this been cleared?

Had repossession proceedings commenced against you?






11b. Convictions and Cautions You must include all matters referred to below, as the Rehabilitation of Offenders Act 1974 does not apply to this declaration. ‘Spent’ convictions must therefore be declared.

1. Have you ever been:

Investigated by the Police Yes* No

Arrested by the Police

Yes* No

Summonsed for an offence by the Court/Police

Yes* No

Charged for any offence by the Police

Yes* No

Issued a Fixed Penalty Notice

Yes* No

Convicted of any offence, including traffic offences (excluding parking)

Yes* No

Cautioned/Reprimanded/Warned/Finally Warned for any offence including traffic offences

Yes* No

Issued with an Anti Social Behaviour order (ASBO), football spectator banning order, risk of sexual harm order or domestic violence or harassment order

Yes* No

Have you ever in Scotland: Accepted a fiscal fine from the Procurators Fiscal

Yes* No

Appeared before a Court Martial

Yes* No

Are you currently subject of any criminal investigation If yes, please provide details below

Yes* No





*If you have answered yes to any of the questions above, please provide further information below and continue on a separate sheet if necessary. Date Offence/incident Result, Court or Other disposal

(E.g. Caution, Bail, Conviction)

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: ___________________________





12. Additional Screening 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* * If you answered yes to any of the above questions then please describe below

13. HM Forces Are you a member of a Reserve Force e.g. Territorial Army Volunteer Reserve, Royal Naval Reserve or Royal Auxiliary Air Force? No

Yes Please explain your commitment





14. Driving Licence Do you hold a current car / motorcycle driving licence?* * Reasonable adjustments will be considered under the Equality Act 2010 for those applicants, who, because of disabilities, cannot meet this requirement. This is voluntary unless the post applied for requires it as part of the contract.

Yes No

15. Guaranteed Interview Scheme for People with Disabilities Leicestershire Police is an equal opportunities employer and actively encourages applications from people with disabilities. We are members of the Employers Forum on Disability and are an Employment Service Disability Symbol User (Two Ticks). Position applied for: Post ref: Applicants with disabilities who demonstrate that they meet the essential (minimum) criteria for the position, as outlined in the person specification provided, will be guaranteed an interview. The Equality Act 2010 defines a disabled person as someone who has: “A physical or mental impairment which has a substantial and long-term adverse effect on a persons ability to carry out normal day-to-day activities”.

Do you consider yourself to have a disability? Yes No

Do you wish to be considered under the Guaranteed Interview Scheme? Yes No

Should you require any special arrangements for interview or assessment exercises e.g. access requirements or special equipment, please give brief details below to enable us to make appropriate arrangements. We will contact you prior to assessment / interview to discuss your requirements further. If you have indicated that you do wish to be considered under the Guaranteed Interview Scheme, please complete the following information.





Please tell us how your disability may affect your ability to undertake an assessment or interview and how we may make reasonable adjustments to enable you to show us your capabilities:

Please tell us if there are any reasonable adjustments you feel we may make prior to or on appointment, so that you will be able to carry out this position:

We will endeavour to provide access, equipment or other practical support to ensure that people with disabilities can compete on equal terms with non-disabled people. Leicestershire Police is committed to making all ‘reasonable adjustments’ to allow access to employment, and to comply with the requirements of the Equality Act 2010.

16. Declaration DATA PROTECTION ACT DECLARATION The information provided on this application form will be entered onto a computer system and as such is covered by the rules set out by the Data Protection Act 1998. The foregoing particulars are correct 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 processed and any offer of employment withdrawn or I may be dismissed from service. I understand that I will only be offered employment on satisfactory and successful completion of medical and security clearances, and employment references (current employers will not be contacted until you have given consent). Any changes in your personal circumstances must be informed to the HR Service Centre to ensure the data held is kept up to date. Full Name/Signature: Date:





17. Diversity Monitoring The information on this form is for monitoring purposes only. The information supplied will be treated in the strictest confidence and will not affect your application 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 application process. Leicestershire Police 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, creed or religion.

Conditions or requirements which cannot be justified by the requirements of the job

disadvantage no job applicant or employee. Leicestershire Police recognises the importance of diversity monitoring. Nevertheless it respects the rights of individuals to ‘prefer not to say’. Therefore, whilst we would be grateful if you would complete the questions below we accept that you may choose to leave answers blank. Disability “A physical or mental impairment which has a substantial and long-term adverse effect on a persons ability to carry out normal day-to-day activities”.

I regard myself as disabled as defined by the Equality Act 2010:

Yes No

Prefer not to say

I am aged:

16–24 25-34 35-44 45-54 55-64 65 +

Prefer not to say My partnership status is:

Civil partnership

Divorced

Living with partner

Married

Single

Prefer not to say





Ethnicity (tick one box) Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background Black or Black British Caribbean African Any other black background Chinese or Chinese other ethnic group Any other ethnic group Mixed White and black Caribbean White and black African White and Asian Any other mixed background White British Irish Any other white background Not Stated Gender Male Female Prefer not to say Do you identify yourself as transgender? Yes No Prefer not to say Religion / Faith/ No Faith Please state your religion or belief Prefer not to say





How do you define your sexual orientation? Bi-sexual Gay / lesbian Heterosexual Prefer not to say I believe that it is appropriate for the Police to ask its employees questions in relation to diversity. Yes No Not sure Prefer not to say I give my consent for this information to be used for equal opportunity reasons. Full name Date Position applied for Post ref.

Thank you.

This information will be confidential and your anonymity respected.

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