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Application for World of Work/ Work Experience

With Wiltshire Police

Application for World of Work - (September 2019) 1

Wiltshire Police – Application for World of Work/work experience

Before applying to join the Wiltshire Police World of Work Scheme please make sure you read the below information.TO BE ABLE TO JOIN THE WILTSHIRE POLICE WORLD OF WORK SCHEME YOU MUST:

Currently be in Year 10, and either live in Wiltshire or attend a school in Wiltshire

Not have committed a violent or sexual offenceNot be, have been or become a member of, or engage in activities with, the British National Party or similar organisations, whose aims, objectives or pronouncements may contradict the duty to promote race equality.

The expectation from Wiltshire Police is that successful candidates treat this opportunity as a professional placement. Therefore candidates are expected to:

be punctual be professionally dressed (wear work attire or school uniform) be polite and respectful at all times participate fully in all aspects of the week

GUIDANCE FOR COMPLETING THIS FORM:Please fill in all sections of this form. If a section is not applicable (for example if you do not have any work experience) please put N/A in the boxPlease use BLOCK capitals for names and addresses e.g. JOHN SMITH not John Smith.

THE APPLICATION PROCESS:

Regrettably we cannot accept any applications received after the allotted time / date of application closure.

An e-mail confirmation will be sent that we have received your application.

A panel made up of Wiltshire Police staff members and independent representatives will review all applications individually.

On successful completion of security checks you will receive email confirmation offering you a place which you must accept to secure your placement.

If you are not successful, we will write, or e-mail, to you to let you know.

Please complete this form and email it to: [email protected]


PERSONAL DETAILS:

Location: please highlight your preference

Please Select Preference

Title:

First Name and Any Middle Names:

Family Name (Surname):

Date of Birth: Please write this in the format dd/mm/yyyy

Place of Birth:

Gender Please Select

Name of School/ College:

Nationality:

Current Full Address:

When Did You Move to Your Current Address?Please use the format dd/mm/yyyy. If you have not been resident at the above address for the last five years please list your previous addresses and dates of residence on a separate sheet attached to this form.

Preferred Contact Number:So we can contact you we need at least one phone number. This can be your home phone number, a mobile phone number or bothThis will be the main phone number we will contact if needed

Preferred Email Address:

This will be the main e-mail address will contact if needed


DETAILS OF YOUR PARENTS / GUARDIANS / CARERS: We need this information in order to carry out ‘confidence vetting checks’ to ensure that there are no reasons why your appointment to the scheme cannot go ahead.

PARENT / GUARDIAN / CARER 1

Title:



Current Address:

Postcode:

Date of Birth: Please write this in the format: dd/mm/yyyy

Place of Birth:

Home Number

Mobile Number

Work Number


DETAILS OF YOUR PARENTS / GUARDIANS / CARERS: We need this information in order to carry out ‘confidence vetting checks’ to ensure that there are no reasons why your appointment to the scheme cannot go ahead.

PARENT / GUARDIAN / CARER 2

Title:



Current Address:

Postcode:

Date of Birth: Please write this in the format: dd/mm/yyyy

Place of Birth:

Home Number

Mobile Number

Work Number


Agreements

To complete the application process we need signed agreements from both the person joining the Wiltshire Police World of Work Scheme and their parent / carer. Please read the below information carefully and complete the relevant boxes.

Student Agreement

By signing the below I confirm that:

In applying to become a member of the Wiltshire Police World of Work Scheme, I understand I will be representing Wiltshire Police and agree to abide by the rules of the organisation.I will commit to the full week by making positive contributions to the sessions.The information I have provided is truthful and correct.I understand and agree that in the event of me breaching the Codes of Conduct or by acting in a manner deemed by a Leader to present a risk to the reputation of Wiltshire Police then I could be given a warning or excluded from the scheme.

Name:

Signature:

Date:

Parent / Guardian / Carer Agreement

By signing the below I confirm that:

• I am the parent / guardian / carer of the child named above and can confirm the accuracy of the details provided in this application form.

• I fully consent to them participating in the Wiltshire Police World of Work Scheme.• I understand and agree that they will be bound by the Codes of Conduct whilst in the care of Wiltshire Police.• I hereby release Wiltshire Police and its representatives from all liability and/or claims for illness, injuries and

damage that may arise directly or indirectly as a result of my son/daughter/ child in my care breaching the code of conduct.

Do you give Wiltshire Police permission to use photos and names of the child named above for the purposes of publicity materials and local media? (Please delete as appropriate)

Name:

Signature:

Date:


WORK EXPERIENCE OR EMPLOYMENT: Please give details of any previous paid or voluntary work you have done.

Employers Details: Dates from/to: Duties and Responsibilities:

HAVE YOU EVER BEEN IN TROUBLE WITH THE POLICE BEFORE?Please give details of any Anti-Social Behaviour Orders (ASBOs), cautions, arrests or convictions that you have had (including dates). It won’t necessarily stop you from taking part in the World of Work, if you have; we just need you to be honest about any trouble you might have been in so we can assess whether the scheme is suitable for you.

Date: What happened? What was the result?


SUPPORTING INFORMATION:

Your Hobbies and Interests:Tell us about any skills that you have developed as a result (for example, teamwork)

Clubs and Societies You Are In:Tell us about any skills that you have developed as a result (for example, planning)


Why You Want to take part in Wiltshire Police World of Work Scheme:


TEACHER / TUTOR COMMENTS: We’d like your teacher / tutor to tell us why you would be a suitable member of the Wiltshire Police World of Work. If you do not have a teacher then please ask another adult who would support your application

Name:

School:If you aren’t a teacher or tutor of the candidate, please state your relationship with them

Signature:

Date:

Teacher/School agreementSalisbury 15-19 July 2019Swindon 8-12 July 2019Melksham 1-5 July 2019

I, (name of teacher) …………………………………give permission for (insert name of student)………………………..........................to attend Wiltshire Police’s World of Work scheme and be absent from school between the following dates (please insert scheme dates)……………………………………………………………………..


Codes of Conduct

What we expect

As a member of the Wiltshire Police World of Work Scheme it is important both you and your parents / carers fully understand what is required of you throughout the entire time you are on Police premises, and whilst you are in the care of your leaders or members of the Force.

In accepting a place on the scheme you are required to agree to accept and undertake the following requirements:

To follow any instructions given by your leaders or other members of staff without argument

To demonstrate the highest standard of behaviour, attitude and conduct at all times

Not to be absent from the scheme without the knowledge or permission of the leader

Not to smoke, drink alcohol or use illegal drugs.

What Could Happen if You Break the Rules?

If you break the rules above the following could apply to you

Verbal warning – normally given for a first minor breach of the code

Exclusion from the scheme – if you are given a verbal warning and commit a further breach you will be excluded from the scheme unless exceptional circumstances apply. Any appeal against exclusion will be heard by the Wiltshire Police World of Work Governance.

Please be aware that you might not necessarily go through the steps above. If the incident you’re involved in is serious enough you may be excluded from the scheme immediately.

Parental / Guardian / Carer Consent

We must get consent from your parent, guardian or carer before you can take part in the Wiltshire Police World of Work Scheme. Here are some things they will need to be aware of:

Wiltshire Police are keen to celebrate success so would like to use photographs of the weeks activities in Force publicity material and local media

Students will meet on Police Premises. All activities will be assessed for risk. Risk assessments can be provided by the scheme leader if required

Your personal data and that of your parent / guardian / carer will be used to undertake ‘confidence vetting checks’ to ensure that there are no reasons why your appointment to the scheme cannot go ahead.


Equal Opportunities Monitoring Form

Wiltshire Police is committed to being an equal opportunities employer, and to the creation of an entirely non-discriminatory working environment. We aim to ensure real equality irrespective of gender, age, disability, marital status, sexual orientation, creed/religion, ethnic or national origin.

It is therefore necessary that you complete this form which will enable us to monitor our Equal Opportunities Policy. The details you supply will be kept in strictest confidence and analysis of this information will not be in any format that identifies you as the applicant, nor will it be used for selection purposes for the vacancy.

Your Ethnic Group(mark one with an X)

White Mixed

White British White and Black Caribbean

White Irish White and Black African

Any other white background White and Asian

Any other mixed race background

Black or Black British Asian or Asian British

Caribbean Indian

African PakistaniAny other black background Bangladeshi

Any other Asian background

Chinese or other Ethnic Group Not Stated

Chinese

Any other


Disability

The Disability Discrimination Act defines disability as a physical or mental impairment with long term, substantial effects on a person’s ability to perform day to day activities.

Here is a list of examples of medical conditions or impairments that could cause someone to describe him/herself as `having a disability’. It is not meant to be an exclusive list and is given for guidance only.

Hearing, speech or visual impairments. If you wear glasses or contact lenses, this is not normally considered a disability.

Co-ordination, dexterity, or mobility. Examples could include polio, spinal cord injury, severe back problems, repetitive strain injury.

Mental Health. Examples could include schizophrenia, severe depression, severe phobias. Learning Difficulties. Examples could include Down’s Syndrome or dyslexia. Other physical or medical conditions. For examples, diabetes, epilepsy, arthritis, cardiovascular

conditions, haemophilia, asthma, cancer, facial disfigurement, sickle cell.

Do you consider yourself to have a disability(mark one with an X) Yes No

Application for World of Work - (September 2019)

If yes, please provide details:

13

Your Religious Belief / Faith(mark one with an X)

Agnostic Christian - United Reformed

Atheist Church of England

Baptist Church of Ireland

Buddhist Church of Scotland

Christian Hindu

Christian - Apostolic Jehovah's Witness

Christian - Dutch Reformed Judaism

Christian - Evangelical Methodist

Christian - Lutheran Muslim

Christian - Mormon Pagan

Christian - Orthodox (Greek) Roman Catholic

Christian - Orthodox (Russian) Sikh

Christian - Pentecostal None

Christian - Presbyterian Not Disclosed

Christian - Quaker Prefer not to say

Christian - Spiritualist


Medical Section:

In caring for the best interest of your son/daughter it is important that we know whether he/she suffers from any medical condition or illness, or whether he/she is currently receiving medical treatment of any kind.

Please be aware that a non-medical member of staff will screen this form and may need to ask further questions so that we can keep your son/daughter safe.

This information will only be used in the event of a medical emergency.Please specify below any health related matters, including injuries of any kind, which you think it is best that we know about, including the details of any medicines (prescribed and over the counter remedies in regular use) and any special needs.

Please note that leaders cannot and will not administer any medication including pain relief for headaches.

If medication is taken by the young person at a meeting/event they must inform the leader what they have taken.

Accidents are rare but where a student is injured or taken ill, the leader will administer first aid. If further treatment is required they will attempt to contact you.

1. Does the named person suffer from asthma, wheezing, hay fever, frequent headaches, diabetes, epilepsy, migraine, faints, frequent stomach ache, bad period pains or any other illness or disability? Yes/No (If yes please give details overleaf).

2. Does the named person have any problems with their bones or joints (back, neck, or knees) Yes/No (If yes please give details overleaf).

3. Is the named person allergic to anything? E.g. foodstuffs, antibiotics, Elastoplasts, Aspirin or any other medicines? Yes/No (If yes please give details of what to and what symptoms overleaf)

4. Does the named person have any phobias that would prevent them taking part in particular activities? Yes/No (If yes please give details of what to and what symptoms overleaf)

5. Does the named person have any special needs (e.g. diet, reading/writing or adjustments due to a physical or mental disability? Yes/No (If yes please give details overleaf).

6. Are any forms of medical treatment forbidden by your religion?Yes/No (If yes please give details overleaf).

7. Is the named person up to date with tetanus immunisations?Yes/No (If yes please give date of immunization) Date……………………..

8. Is there any other relevant medical or health information that has not been requested that we should be aware of?


Yes/No (If yes please give details).

Please tick each statement that applies

I confirm that the information I have given is accurate to the best of my belief and knowledge

I confirm that my son/daughter is in good health (unless specified)

If I cannot be contacted to give consent I hereby give consent to any necessary medical treatment and authorise the officer in charge of the event to sign on my behalf.

I understand that this information may be transferred to an electronic database. It will be held in confidence and only used for World of Work purposes.

In the event of any of the above information changing please update the leader.

Name of Parent/Guardian……………………………………………………………………………

Signature…………………………………………………………………………………….…………

Date………………………………………………………………………………………………………

Application for World of Work - (September 2019)

Details from question 8:

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