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APPLICATION FORM FOR POLICE SUPPORT VOLUNTEER

VOLUNTEER POST:

 The information you provide in this questionnaire will be treated in the strictest confidence. It is in your interest to make a full and frank disclosure.

 You should complete all sections of this form personally and in black ink if you plan to send it to us by post. If you are completing an electronic version of this form, complete the grey shaded fields, save the document and email it to the address provided. Check that you have completed ALL the questions by ticking responses as appropriate, or by providing an answer in the spaces below. Where a question is not applicable or the answer is not known or not easily obtainable, enter Not Applicable (N/A) or Not Known (N/K) respectively. Please note that N/A or N/K responses may cause delay to your clearance. Should you require extra space to answer questions please insert a sheet of A4 in postal applications. Please put your full name at the top of each continuation sheet.

Remember to complete the declaration on Page 5 and 8

SECTION 1 Personal Details Surname Surname at Birth (if different)

Forename(s) Title Any other name(s) you are known Mr Miss by/have used previously Mrs Dr Ms Place and Country of Birth

Current Address

Postcode Date of Occupancy Is address multi-occupancy? Month Year Yes No Contact numbers Home Work (if convenient)

Mobile

Email address

National Insurance No

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VETTING INFORMATION

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 Approximate dates (include postcode if known) from (month/year) to (month/year)

1. From To

Multi-Occupancy: Yes No

2. From To

Multi-Occupancy: Yes No

3. From To

Multi-Occupancy: Yes No

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About your family

Please tell us about your family (wherever they live), and any other adults living at your address. Please include maiden names and details of any deceased members of your family. Continue on a separate sheet if necessary. Please complete all sections or your application will be delayed.

Relationship to you Full Name Full Address (delete as appropriate) (include previous surnames and (including postcode if known) maiden names and name at birth if different)

Yourself

Date and place of birth

Your Spouse/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

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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

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 – your spouse/partner, co-habitee, parents, brothers, sisters and step relatives, that their details have been included in the questionnaire.

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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 of Applicant Date

For electronic applications please type name for signature

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Pre-Employment Financial Information

All questions relate to the applicant and, if applicable, your spouse or partner.

Complete these questions in respect of the last six years.

Show full information in respect of all questions. Failure to do so could delay your Yes No 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 any existing loan/mortgage/hire purchase agreement?

Have you ever been registered bankrupt?

If ‘Yes’, have your bankruptcy debts been discharged? *

Have your 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?

*If applicable, please provide a Certificate of Satisfaction.

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Convictions and Cautions Have you been convicted for any offence or had any formal cautions/reprimand by Police (including Military Police) for any offence or kind of 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 Offence/ Result Court/Police Station (most recent first) Alleged Offence (if known) involved

Do you have any impending prosecutions? Yes No If ‘Yes’ please provide 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.

Additional Information

Is there anything that you think you ought to bring to the attention of the Police Service concerning your past, your integrity, your associations? This includes working in the media as an investigative journalist, media researcher or other media related activity. When in doubt, please include.

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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 confirm that my spouse/partner has been informed 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 of Applicant Date

For electronic applications please type name for signature

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SECTION 2 Volunteers from overseas

Yes No

Do you require a permit to volunteer in this country? See relevant section in guidance notes.

If ‘Yes’ do you have a current permit?

If ‘Yes’ please indicate expiry date

Have you lived in the UK for the past 3 years?

Tattoos and Piercings

Yes No

Do you have any tattoos on your hands, neck, forearms or face?

If ‘Yes’ please describe their nature and location.

What level of commitment can you offer?

Approximately how many hours a week can you volunteer?

2 4 6 8 Other (Please State)

What days are you available?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Please indicate what time of day is most convenient?

9am to 12 noon 12 noon to 5pm Evenings

What Police Station would you prefer to volunteer at?

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Skills and Experience Yes No Yes No

Do you hold a currentFirst Aid driving Certificate? licence?

How did you hear about the Nottinghamshire Police Volunteer Scheme? Do you have access to private transport?

Why do you want to be a volunteer at Nottinghamshire Police? Can you speak any other languages in addition to English?

If ‘Yes’ please state:

WhatCan you do either:you hope to gain from your volunteering experience?  Use British Standard Sign Language?

 Read Braille?

Please indicate the description that best describes your present situation

Please Student give details of any Unemployed skills and experiences Employed that you feel will be Retired use to the Police, Other, e.g. computing, please inter-personal skills, or clerical/administration skills. State

Please give details of any previous or existing voluntary experience.

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References

Please give the names and full addresses of two people, not relatives, who have known you for a minimum of two years who are prepared to vouch for your character and recommend your application.

Reference 1 Reference 2

Name Name

Address Address

Postcode Postcode Telephone Number(s) Telephone Number(s)

Email Email

How long have you known him/her? How long have you known him/her?

Declaration

I hereby declare that the information I have given in this application is true to the best of my knowledge and belief and that I have not knowingly withheld any relevant information. For electronic applications please type name for signature.

Signature of Applicant Print Name Date

Please send completed forms to:

Volunteer Coordinator Nottinghamshire Police Sherwood Lodge Arnold Nottingham NG5 8PP

Or email to: [email protected]

Please note that to meet the security vetting criteria, you will need to bring to 2 forms of ID to your interview. One must be photographic and the other a recent official document showing your current address.

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APPLICATION FORM FOR POLICE VOLUNTEERS

EQUAL OPPORTUNITIES MONITORING FORM

Name: Title: Dr Mr Mrs Ms Miss

POLICE VOLUNTEER SUPPORT TEAM

Policy Statement 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, gender, marital status, colour, nationality, religion or belief, ethnic or national origin, sexual orientation, 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 & over

Gender Male Female Other

Disability Yes No

Ethnic Origin Sexual Orientation 12 Restricted Staff (When Completed)

White British Bisexual Irish Gay Any other white background Heterosexual Mixed White and Black Caribbean Prefer not to say White and Black African White and Asian Religious Belief/Faith Any other mixed background Asian or Asian Indian Buddhist British Pakistani Christian (state Bangladeshi denomination if you Any other Asian background wish) Black or Black British Caribbean Hindu African Jewish Any other black background Muslim Chinese or other Chinese Sikh ethnic group Any other (please specify) None Other (Please state)

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