RESTRICTED - Staff (when completed)

Volunteer

Application Form

Please complete this form inBLACK INK. You may complete by hand or electronically.
If you have any questions about completing this form please contact the volunteers team
(see your covering letter for our contact details).
1 / Role applied for: Senior Voluntary Strategic Advisor
Team/Department: Citizens in Policing
Location: Wymondham & Countywide
2 /
Surname:
/ Forename(s): / Title:
Address:
Postcode:
Date of Birth: / Telephone Numbers
Home:
Mobile:
Business:
(if we may contact you there)
Email: / MR
MRS
MISS
OTHER
3 /

Details of Employment & Volunteering

a / Name and address of present employer (if applicable) / Job Title / Date from and to
Please provide, (working backwards from the most recent) details of any full,
part-time,casual employment or voluntary roles you have had.
b /
Name and address of previous employer
/
Job Title
/
Date from and to
/
Reason for leaving
4 /
Education/Professional/Vocational Qualifications
a / Secondary school/college/
university/organising body / Date from and to / Qualifications and date obtained
b / Other relevant training courses completed
Organising body and title / Brief description of course content and dates attended
5 / Additional Skills
Please give details of any additional skills which you feel will be of use to us, e.g. computer skills, teaching, training, driving, translation/languages,financial, legal, etc.
6 /
Other Details
a / National Insurance Number:
b / Do you have a current driving licence? YES/NO
c / Are you a member of the Appropriate Adult Scheme? YES/NO
d / Are a Commonwealth citizen or a foreign national? YES/NO
If YES, is your stay in the UK free from restrictions? YES/NO
e / Do you consider yourself as having a disability which may require reasonable adjustments to assist you during the recruitment process, e.g at the informal interview? YES/NO
If YES, please give additional information about your disability / reasonable adjustments required below.
7 / Information for Initial Vetting Check
Please note:
  • As part of the recruitment process full vetting checks will be undertaken at a later date, at a level appropriate for the role you are applying for.
  • You must include spent convictions under the Rehabilitation of Offenders Act 1974 (by virtue of the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975).
  • Please include details of any Fixed Penalty Notices for motoring offenses.

a / Have you ever received any of the following :
Convictions for any offences (including traffic convictions and appearances / sentences before a Court Martial) or formal cautions by police for any offence (including cautions as a juvenile), also any Restorative Justice or any bind-overs imposed by any Court or Fixed Penalty Notices, reprimands, or warnings: YES/NO
If your answer is YESplease provide details below:
b / Do you associate, belong to or have contact with any extremist group or organisation using criminal means to achieve its objectives or whose aims or pronouncements may contradict our duty to promote race equality? YES/NO
8 / Statement in Support of Your Application
Please briefly tell us about your suitability for the volunteer role you are applying for by using relevant examples drawn from your work/life/volunteering experiences.
The examples should be used to evidence the Essential criteria as detailed in the Role profile. Please use a continuation sheet if required.
Cont…
Section 8: Statement in support of your application continued (please also use a continuation sheet if required).
9 / Availability Chart
Please indicate in the table below which periods of the week suit your availability for volunteering.
Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
Morning
Afternoon
Evening
10 / Application Declaration
  • I understand that I may be required to speak to the Constabulary Occupational Health Adviser and that information I provide in the PSV Health Questionnaire (completed after the interview) will be shared with them if necessary.
  • I understand that Norfolk & Suffolk Constabularies will record the data I provide for the purposes of recruitment and management of the PSV Scheme. The personal data supplied will be managed confidentially, securely and in accordance with the Data Protection Act 1998 and will be used as set out within the Constabulary’s Personnel/Employment RecordsInformation Handling Statement. As part of the subsequent vetting process the police national computer, credit reference agencies and other computerised systems may be consulted to verify the details you have provided. The results of these checks will be recorded and form part of the vetting record. You have a right to access your personal data – for further information please contact the Force Data Protection Officer.
  • The Chief Constable has a statutory obligation to run an efficient and effective Force. To meet this obligation we must provide for the safety of our staff, and ensure that those with access to force information are trustworthy and unlikely to breach confidences. Any infringement of an individual's right to respect for private and family life (European Convention on Human Rights (ECHR) Article 8), and discrimination (ECHR Article 14), will only be that which is necessary and proportionate. The legitimate aims for such action will include the protection of the rights and freedoms of others, safeguarding public safety, the prevention of disorder and crime and in some cases national security.
  • I undertake to notify the Police Support Volunteers Team of any significant changes or additions in the information I have provided in this form, at the earliest opportunity.
  • I consent to all of the above.
  • I understand that if I have knowingly made a false statement or deliberate omission in the information I have provided in this form; I may be disqualified from accessing Norfolk & Suffolk Police premises, systems and information and may be removed from the Police Support Volunteers Scheme.
  • I declare that the information I have provided is true and complete to the best of my knowledge and belief.

Signed: / Date:

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