WILTSHIRE POLICE. Staff Application Form APPLICATION FORM SECTION A

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1 For office use only Candidate No: APPLICATION FORM SECTION A Post Applied for: Job Ref No: The information that you supply on Section A of this form will not be available to those involved in the selection processes. If you have any queries about this form, please contact the Wiltshire Police Recruitment Team on recruitment@wiltshire.pnn.police.uk or Please return this form to: applications@wiltshire.pnn.police.uk PERSONAL DETAILS Family Name: First Name(s) Previous Family Name(s) (if any) Sex Date of Birth Current Home Address National Insurance No Marital Status Title Home Telephone address: (this will be used for all contact so please ensure it is correct) Where did you hear of this vacancy? Post Code Mobile Telephone Please answer the following questions: Do you hold a full current manual driving licence? Do you have the daily use of a vehicle? Do you hold EC nationality? If No, do you have a work permit? _ What date does this permit expire? Have you ever been convicted of any offence, including traffic convictions, or formally cautioned by the police for any offence, or bound over by the Court? _ Employment with the Police Service is exempt from the provisions of the Rehabilitation of Offenders Act (1974). You are therefore required to declare all convictions even if spent under the terms of the Act. Failure to do so may lead to disqualification or later dismissal if appointed. If YES, please give details _ Form:

2 QUALIFICATIONS (You may be asked to produce certificates if offered the post). Use separate sheet if necessary. Examination type and subject (e.g. GCSE Maths) Date passed/due to be taken Grade achieved/predicted (e.g. Merit, A, 2:1) CURRENT OR PREVIOUS POLICE SERVICE (Detail any current or previous service in any Police Force in the UK, for example, police officer, special constable, police community support officer, police support staff, volunteer or cadet) Dates of service from to Force Line manager name DECLARATION I declare that the information I have provided is true and complete to the best of my knowledge and belief. I understand that if I have knowingly made a false statement or a deliberate omission in the information I have provided in this form, I may be disqualified from this application or could be dismissed. I understand that if successful, my appointment will be subject to satisfactory evidence of medical (if applicable), fitness (if applicable), security clearance and receipt of satisfactory references. Declaration Agreed Date Form:

3 EMPLOYMENT HISTORY We need to obtain references for all the employers/education you have had in the past 5 years. One MUST be your present employer or if not currently employed, your last employer. Please provide addresses where possible as this will speed up reference checks. IF YOU ARE A WILTSHIRE POLICE EMPLOYEE PLEASE DO NOT COMPLETE. No approach is made for references unless a provisional offer of appointment has been made. Do you wish to be contacted before an approach is made to your current employer for a reference? _ Current Employer/Company Name Notice period Revised COMPLETE REFERENCE HISTORY Name Dates Reference Covers Gaps Emp Ref 1 Emp Ref 2 Emp Ref 3 Emp Ref 4 Emp Ref 5 Emp Ref 6 Emp Ref 7 Emp Ref 8 Emp Ref 9 Emp Ref 10 Edu Ref 1 Edu Ref 2 Edu Ref 3 Form:

4 Revised Revised Revised Form:

5 Revised Revised Revised Form:

6 Revised Revised Revised Form:

7 EDUCATION HISTORY (only if studying in the last 5 years) Name of School/college/university Course studied Date started and finished Tutor/teacher name School/college/university address School/university/college telephone number Revised Name of School/college/university Course studied Date started and finished Tutor/teacher name School/college/university address School/university/college telephone number Revised Name of School/college/university Course studied Date started and finished Tutor/teacher name School/college/university address School/university/college telephone number Revised EXPLANATION FOR ANY GAPS IN THE LAST 5 YEARS Form:

8 EQUAL OPPORTUNITY MONITORING FORM The Wiltshire Police is committed to being an equal opportunity employer and is determined to ensure that no job applicant or employee:- receives less favourable treatment on the grounds of sex, marital status, colour, race, nationality, ethnic/national origins, religious belief, age, disability or sexual orientation is disadvantaged by conditions or requirements, which cannot be shown to be justified We also seek to ensure that employees are not victimised, or sexually or racially harassed. In accordance with the Codes of Practice issued by the Commission for Racial Equality and the Equal Opportunities Commission, the Wiltshire Police records the ethnic origin, sex and marital status of people who apply for appointment. To implement and monitor the effectiveness of its Equal Opportunity Policy, the Wiltshire Police would be grateful if you would complete the table below. This information will be held in confidence, will not be used for recruitment purposes and will be separated out from any selection process. I would describe my ethnic origin as: Asian or Asian British _ Black or Black British _ Chinese or other _ Mixed _ White _ Disability Statement The Wiltshire Police is committed to the recruitment of people with disabilities and the continuous improvement of service delivery to disabled members of the community. In order to monitor our progress on this, we ask all applicants to indicate whether or not they have a disability. We guarantee to interview people with disabilities who fulfil the basic job requirements and will ensure appropriate support is provided where required. Definition of Disability Section 1 of the Disability Discrimination Act defines a person as having a disability if he or she `has a physical or mental impairment which has a `substantial long term adverse effect on his or her ability to carry out `normal day to day activities. Further guidance on who is included is attached. Do you consider yourself to have such a disability? _ Is the condition progressive? _ Please indicate the category of your diability: Physical Co-ordination _ Sensory _ Mobility _ Manual Dexterity _ Speech _ Hearing _ Eyesight _ Memory or ability to concentrate/learn/understand _ Severe disfigurement _ Ability to lift, carry or move everyday objects _ Other Please describe the nature of your disability: _ If you are called for interview and/or appointed to this post, do you feel that any special aids, facilities or equipment would be required to take account of your disability? Please give details: DATA PROTECTION ACT 1998 the information you supply on this form may be used on a computerised system. Form:

9 For office use only Candidate No: APPLICATION FORM SECTION B Post Applied for: Job Ref No: Location: GUIDANCE NOTES FOR COMPLETING COMPETENCY BASED APPLICATION FORMS Prior to completing the boxes below, carefully consider the required competencies which have been selected and evidence your knowledge, skills and experience. Provide examples/evidence of when you have demonstrated each particular skill area (eg to demonstrate organisational skills you may be able to detail a function or event that you were responsible for organising or a heavy workload that you were required to prioritise and how you did this). These examples of evidence need not necessarily come from your most recent/current post. When answering competency-based questions, provide SPECIFIC and DETAILED examples of when and how you have demonstrated each competency. The examples you give must clearly show your approach; how you tackled a competency and your particular involvement e.g. simply stating that you are competent in this area does not demonstrate fully what you did, how and why and therefore does not provide sufficient evidence. What was the situation? "What was your specific role, what did YOU do?" How did YOU decide which task to do first - when and why? What was the outcome? and "How did the outcome affect your team or organisation or company?" "How has that experience affected the way you conduct yourself today were there any learning points to take away? You should include as much information as possible within the confines of the box provided. If it is not included on the form, the panel will not be able to assess it. Form:

10 Competency/Criteria 1 Competency/Criteria 2 Form:

11 Competency/Criteria 3 Competency/Criteria 4 Form:

12 Competency/Criteria 5 Competency/Criteria 6 Form: