APPLICATION FORM FOR THE ROLE OF POLICE SUPPORT VOLUNTEER (PSV) When completed, this form should be emailed to the below email address:‐ [email protected] Or return by post to:‐ Volunteer Recruiting, HR Service Centre, Butterley Hall, Derbyshire, DE5 3RS If you are experiencing problems submitting this form, please contact the Shared HR Service Centre on 0300 330 1 330 Disabled Applicants The Equality Act 2010 defines a disabled person as someone who has a mental or physical impairment that has a substantial and long‐term adverse effect on the person’s ability to carry out normal day‐to‐day activities. If you feel that you meet this description and require any assistance in completing your Application Form please do not hesitate to contact us. If you are successful, we will endeavour to make any reasonable adjustments so you can volunteer. Data Protection Act 1984 Personal data supplied on this form may be held or verified by computer during the process of your application. Background enquiries undertaken may include reference to personal data held on Police computer. Applicant’s Full Name: Role Applied For: Failure to specify a role will cause a delay in processing your application Office Use Only Applicant Number: Date Received: Integrity Respect Performance Responsibility Innovation Conditions of Entry Age: The minimum age for entry is 18 years old with no upper age limit. Health: You must be physically and psychologically capable of effectively undertaking the tasks you may be asked to do. Education: Formal academic qualifications are not essential but all applicants need to demonstrate that they have appropriate skills and abilities to perform the role of a Police Support Volunteer. Nationality & Residency: You must be a British citizen or a member of the EU. Commonwealth citizens and foreign nationals are also eligible but only if they are resident in the UK free of restrictions and can provide proof of this. You must have been resident in the UK for a period of 3 years prior to applying. Character: Only persons of good character will be accepted as you must respect and uphold the law. If you have been convicted or cautioned for any offence you may still be eligible for the role depending on the nature and circumstances of the offence. However, failure to disclose details will result in you not being able to become a Police Support Volunteer. If you are convicted or cautioned for any offence after the date you completed this form you must disclose the relevant details immediately. Conflict of Interest/ Non‐ Eligibility: Applications will not be accepted from individuals where there is a significant possibility that this could lead to a conflict of interest in your professional life or another voluntary role. You must therefore give full details of your current employment or other voluntary work you do as part of your application. Please refer to the list below for guidance. Barred Professions:  Private detectives and enquiry agents  Security officers, guards and door people  Members of employer’s police force and private constabularies Considered on a case by case basis:  Magistrates, clerks to justices and clerks to court  Probation officers  Bailiffs, warrant officers  Holds of liquor licenses and managers of license and managers of licensed house  Licensees of betting/gaming premises  Civilian detention officers  Custody officers and custody escort officers  Traffic wardens Other roles you carry out may bring a conflict of interest. You must give full details of your employment or any other voluntary work; if we consider there will be a conflict of interest we will not be able to progress your application. Vetting Procedures: Police Support Volunteers are subject to the Data Protection Act, Misuse of Computers, Official Secrets Act and ACPO National Vetting Policy 2012. It is important that the reliability and integrity of individuals is maintained and for this reason you, your family and others who live at your address may be subject to the appropriate vetting process. BNP: The Police Service has a policy of prohibiting any of their staff or volunteers from becoming members of the BNP or similar organisations whose aims, objectives or pronouncements may contradict our duty to promote race equality. If you are, or have been, a member of the BNP or similar, your application may be rejected. Tattoos & Piercings: Some tattoos are unacceptable, for example if they cause offence to members of the public or colleagues and/or invite provocation, or are considered to be rude, lewd, crude, racist, sexist, sectarian, homophobic, violent or intimidating. Other tattoos and piercings are not necessarily a bar to appointment although they may affect which roles you can fulfil if they could offend others or bring discredit to the Police Service. Please describe any tattoos on your face, neck, forearms or hands and/or facial piercing in Section 2 of the form. Section 1 – Your Contact Details Surname: Forename(s): National Insurance Number: Home Address: Post Code: Home Telephone: Work Telephone: Mobile Telephone: Email Address: *We will use email to contact you wherever possible. Please provide an email address if you have one and check your mail regularly. Section 2 – Other Information ☐ Yes Are you over the age of 18? ☐ No Nationality: Nationality at birth (if different): The Police Service welcomes people with disabilities and will do its best to make adjustments to the working arrangements and/or the working environment provided it is reasonable in all the circumstances to do so. In addition, the Equality Act 2010 makes it unlawful to discriminate against a disabled person. Do you have a disability? ☐ Yes ☐ No ☐ Yes ☐ No Do you have a learning difficulty? Please give details of any specific support you may need to assist you in this process or in volunteering: Are you a UK or EU citizen, or a Commonwealth citizen, or a foreign national with indefinite leave to remain in the UK? ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No Have you lived in the UK continuously for 3 years: Are you or have you ever been a member of the BNP or similar organisation whose constitution, aims, objectives or pronouncements may contradict the duty to promote race equality? Do you have any convictions or cautions? (If ‘Yes’, please provide details in Section 6) Do you have any tattoos on your hands, neck, forearms or face and /or facial piercings? (If ‘Yes’ please provide details in Section 6) Section 3 – Employment History Please list all employment or voluntary work within the last two years, including current employer or voluntary organisation. Name and full address of employer (including a contact name) Post held and duties undertaken Date From (month & year) Date To (month & year) Reason for leaving Section 4 – Skills & Experience Please indicate any skills you have and which you would be happy to use in a volunteering role. We will use this list, and the information about your availability and location preferences, to match you to a suitable volunteering role. Communication Talking to customers or colleagues face‐to‐face ☐ Talking to customers or colleagues on the phone ☐ Using correct grammar and punctuation so that messages are clear and professional ☐ Composing routine correspondence ☐ Taking telephone messages containing all the information needed for a colleague to respond Public Speaking ☐ ☐ IT skills ☐ Using Microsoft Outlook ☐ Using Microsoft Excel ☐ Using Microsoft Word Using other specialist IT packages ☐ Confidence with IT to quickly learn new systems ☐ Organisational skills Good at planning own time and commitments ☐ Good at following instructions to complete tasks without the need for supervision ☐ Able to plan a timetable for a piece of work and schedule activities to meet deadlines Attention to detail ☐ ☐ Able to use street maps and plans ☐ Able to interpret charts, plans and statistics to reach conclusions ☐ Admin skills ☐ Filing, using a range of methods ☐ Making notes at meetings ☐ Preparing minutes of meetings Preparing email and formal correspondence using templates and agreed layouts ☐ ☐ Photocopying ☐ Scanning Collating printed materials e.g. in preparation for a meeting of a delivery schedule ☐ Delivery of leaflet in accordance with instructions ☐ Completing standard forms accurately e.g. order forms ☐ Physical skills Able to bend, lift and carry e.g. to deliver materials for a public meeting ☐ Able to walk around a local area e.g. to deliver leaflets ☐ Able to stand for a reasonable length of time e.g. to help at a public consultation event ☐ Section 5 – Availability We aim to be as flexible as possible, please indicate what days you might be able to volunteer: ☐ Monday ☐ Tuesday ☐ Wednesday ☐ Friday ☐ Saturday ☐ Evening ☐ Thursday ☐ Sunday Please indicate what times of the day is most suitable for you to volunteer: ☐ Morning ☐ Afternoon ☐ Other: Please indicate how often are you able to volunteer by selecting one of the following options and entering the information regarding the number of hours and frequency: ☐ I would be able to volunteer ☐ Week hours each ☐ Month Or ☐ I would be able to volunteer occasionally, with the following number of hours and frequency: Please indicate which areas of the county you would be able to volunteer in: ☐ ☐ ☐ ☐ ☐ ☐ ☐ Primary Preference (Please select 1) Belper ☐ Bolsover Buxton ☐ Chesterfield Chester Green (Derby) ☐ Clay Cross Cotton Lane (Derby) ☐ Glossop Ilkeston ☐ Long Eaton Matlock ☐ Peartree (Derby) Ripley / HQ ☐ Swadlincote ☐ ☐ ☐ ☐ ☐ ☐ ☐ Secondary Preference (Please select 1) Belper ☐ Bolsover Buxton ☐ Chesterfield Chester Green (Derby) ☐ Clay Cross Cotton Lane (Derby) ☐ Glossop Ilkeston ☐ Long Eaton Matlock ☐ Peartree (Derby) Ripley / HQ ☐ Swadlincote Section 6 – Force Map Section 7 ‐ Continuation Clearly indicate which section(s) this information refers to: Section 8 ‐ Declaration The Chief Constable will wish to undertake suitability checks on any persons having access to police premises and/or acting on his behalf and reserves the right to decline any person considered unsuitable without giving reasons for the decision. Your application to be a Police Support Volunteer will cause background checks to be carried out to ensure your suitability for this role. These will include Counter Terrorism Checks, Criminal Record checks and checks of other Police held databases. Also all force positions are subject to random drug testing. By submitting this application you consent to this. By signing this application you are declaring that all the statements you have made in this application are true to the best of your knowledge and belief. Signed: Date: