Please sign and date the completed application form and send together with other required documentation (see Submission of Application requirements – Section 9 on the Vacancy Notice) to:
Human Resources Section, European Police College, CEPOL House, Bramshill, Hook, Hampshire, RG27 0JW, UK (Please include the Vacancy Notice Reference Number on the outside of the envelope and mark the envelope Private & Confidential.)
*All relevant fields should be completed in English using black ink.
PHOTOPLEASE INDICATE THE Number of the Vacancy Notice of the Position to which you are applying:
1. Surname/Family Name
Forenames
Title
2. Permanent Address (will be used for all correspondence related to this application)
Street name and number
Town
County
Postcode
Country
Telephone No Email
3. Date of birth Age
Place of birth
Nationality at birth
Have you ever had any other nationality?
If YES give full details and dates
Gender: MALE
FEMALE
4. Knowledge of languages
Mother tongue
Using the grid provided below, please give details of competence in any other languages:
Languages / 1 / 2 / 3 / 4Reading / Writing / Speaking / Reading / Writing / Speaking / Reading / Writing / Speaking / Reading / Writing / Speaking
Excellent
Very Good
Good
Fair
Basic
5. Education
If invited to interview, you will be required to bring with you original certificates/diplomas for the qualifications mentioned below.
Higher EducationName and address or
university or other establishment / Period of study / Total length / Degree or diploma obtained
From (yy) / to (yy)
6. General, specialist and further training or qualifications received which may be relevant to the post applied for.
7. Knowledge of office computer programmes
Using 1-5 (with 5 as the highest) give details of competence in programmes eg: Word, Excel, MS Access, Powerpoint, any other software systems.
Computer Programme / Skill Level8. Career to date, with details of professional experience.
Applicants are requested to submit their C.V. in the EuroPass format as part of this application.
As a synopsis please give brief details of your previous assignments in the following table, starting with your current or most recent job. If you are invited to interview, you will be required to bring with you proof of employment of the positions mentioned.
Present or most recent employmentname and full address of employer
from
(dd/mm/yy) / to
(dd/mm/yy)
Name and contact details of supervisor
Description of Main Tasks
(further details may be provided
on your CV)
Job title
and grade (if applicable)
Languages used / No. of employees in company
Frequency of missions abroad
Period of notice required
Reason for leaving
Number and type of staff under your supervision
name and full address of employer
from
(dd/mm/yy) / to
(dd/mm/yy)
Name and contact details of supervisor
Description of Main Tasks
(further details may be provided
on your CV)
Job title
and grade (if applicable)
Languages used / No. of employees in company
Frequency of missions abroad
Reason for leaving
Number and type of staff under your supervision
name and full address of employer
from
(dd/mm/yy) / to
(dd/mm/yy)
Name and contact details of supervisor
Description of Main Tasks
(further details may be provided
on your CV)
Job title
and grade (if applicable)
Languages used / No. of employees in company
Frequency of missions abroad
Reason for leaving
Number and type of staff under your supervision
name and full address of employer
from
(dd/mm/yy) / to
(dd/mm/yy)
Name and contact details of supervisor
Description of Main Tasks
(further details may be provided
on your CV)
Job title
and grade (if applicable)
Languages used / No. of employees in company
Frequency of missions abroad
Reason for leaving
Number and type of staff under your supervision
name and full address of employer
from
(dd/mm/yy) / to
(dd/mm/yy)
Name and contact details of supervisor
Description of Main Tasks
(further details may be provided
on your CV)
Job title
and grade (if applicable)
Languages used / No. of employees in company
Frequency of missions abroad
Reason for leaving
Number and type of staff under your supervision
*All further information related to other previous jobs should be included in your CV and attached to this application form.
9. When could you take up duty, if appointed?
10 Criminal convictions
a) Have you, within the last 10 years, ever been convicted or found guilty by a court of any offence in any country (excluding parking) or been put on probation, received formal caution or been absolutely/conditionally discharged or bound over after being charged with any offence, or is there any action pending against you? Yes No
If yes, please give details
b) Have you ever been convicted by a Court Martial or sentenced to detention or dismissal or fined whilst serving in the armed forces of any country? Yes No
If yes, please give details
11 Personal Health
As stipulated in the EU Staff Regulations, Article 12 of the conditions of employment of other servants:, the applicants should be able to produce evidence of sufficient good health (either by medical examination or a statement from a registered medical practitioner in their country of domicile) to the extent that it would not impact on their ability to perform the required tasks, and that they are free from any defect or disease which would represent a risk to others.
Applicants are invited to conform to this requirement.
12 Military Situation
As stipulated in the EU Staff Regulations, Article 12 of the conditions of employment of other servants:, where there is an obligation to undertake military service, under the national legislation of a Member State, then such obligation must either have been fulfilled, or the applicant must be able to furnish proof that the obligation can be deferred to the extent that it would not unduly affect the employment contract.
Applicants are invited to state below what their military status in their country is.
13. Reasons for Applying
Please state briefly in no more than 250 words, why you are interested in this post and summarise any relevant information not covered elsewhere in this form.
14. References
Please provide the Names and contact information of three persons not related to you, who know you professionally and/or personally. (Please be aware that no referees shall be contacted until a later stage in the recruitment procedure).
full name / contact telephone no. And email address / occupation or profession15. Declaration
DECLARATION
I, the undersigned, declare that the information provided above is, to the best of my knowledge, true and complete.
- I further declare that:
- I am a national of a member state of the european union.
- I have not been deprived of my civic rights.
- I have complied with the provisions of all military recruitment laws applicable to me.
- I undertake to submit, upon request, any documents in support of the above statements and declarations.
- I realise that any false statement or omission, even if unintended on my part, may lead to the cancellation of my application or may render my appointment liable to termination.
- I am willing to undergo the prescribed medical examination prior to appointment and to provide a sworn affidavit to the effect that I have no criminal record.
(Compulsory)
(Signature)
Print Name
(Date)
CEPOL Application Form page 1/7