ASSOCIATION OF CHIEF POLICE OFFICERS OF ENGLAND, WALES & NORTHERN IRELAND APPLICATION FORM Data Protection Act, 1998 Personal data supplied may be held on or verified by computer Post applied for: Location of post: Higher Analyst London 1. Personal Details Length of Service: Station/Dept: Business Tel No: Email Address: Private Tel No: Please use Arial font 10 DO NOT EXPAND THE BOXES Full Name (BLOCK LETTERS): Rank & Collar No: Current Post: Private Address: 2. Further education or qualifications gained since joining the Police Service Please attach to application copy of relevant HR (Oracle) printout and detail any additional information or amendments to this record. 3. Training & Development Please attach to application copy of relevant HR (Oracle) printout and detail any additional information or amendments to this record. 4. Posting Previous posts in the police service. Please attach to application a copy of relevant HR (Oracle) printout of previous posts held. 5. Additional Information Please use this section to enter any additional information that you consider to be relevant to your application. 6. Competencies supported by evidence The following competencies have been identified as being necessary for effective performance for all police officer/staff roles. Please refer to the competencies/behaviours for the post you are applying for and complete competency evidence for those competencies only. 6.1 Please give an example of successful planning and organising 6.2 Please describe a time when you have shown community and customer focus Planning and Organising Community and Customer Focus Respect for Race and Diversity Strategic Perspective Problem Solving Personal Responsibility Effective Communication 6.3 Please give an example of when you have demonstrated respect for race and diversity 6.4 Please give an example of when you have demonstrated ‘strategic perspective’ 6.5 Please describe a time when you solved a problem 6.6 Please give an example of when you have demonstrated Personal Responsibility 6.7 Please describe a time when you have demonstrated effective communication. Declaration I declare that all the statements I have made in this application are true to the best of my knowledge and belief, and that I have not withheld any relevant information. I understand that if I have made any false statements or omitted any information I am liable to have my application rejected. Signed (Applicant): Date: 7. Observations and Comments by Immediate Supervisor on the evidence provided Comment should be made in conjunction with the information provided in Section 7 as to the suitability of the applicant. Signed: Date: 8. Recommendation (to be completed by a member of your Force ACPO Command Team) Comment should be made in conjunction with the information provided in Section 7 as to the suitability of the applicant. *must be filled in Signed: Date: Where the applicant has not been recommended, the reason(s) must be justified and explained on this page. The applicant should be informed of the decision and countersigned in Section 10, commenting if necessary. 9. Applicant’s Comments (to be completed by applicant if not recommended) / do not wish to comment as below (* indicate which is applicable). I have seen and noted the comments and *do Signed (Applicant): Date: 10. Human Resources (Any additional information as required) HR Unit Details: Contact Name: Address: Phone Number: Email Address: *Must be filled in Signed: HR Lead Date: Association of Chief Police Officers of England, Wales and Northern Ireland Recruitment Monitoring Questionnaire Post applied for: Surname: Post ref no: Name: Age Under 20 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Date of birth Gender Male Trans man Female Trans Woman Co-habiting Marital Status Single Married How would you describe your ethnic group? White White British Any other white background African Any other background Asian/Asian British Indian Bangladeshi Mixed Heritage White & Asian Any other mixed background Chinese Chinese Pakistani Any other Asian background White & Black African White and Black Caribbean White Irish Black/Black British Caribbean Any Other Ethnic Group, Please Specify……………………………… Faith/ Religion Sikh Christian Hindu None Buddhist Muslim Jewish Other please specify………… Sexual orientation Lesbian Heterosexual woman Heterosexual man Other please specify.…………… Bisexual Gay man Decline to answer Yes Do you consider yourself to have a disability? Yes Do you meet the Disability Discrimination Act definition of disability? No No If yes, what arrangements, if any, would be needed if you are called for interview? Preferred method of contact: Telephone Email Letter Textphone Advertised Vacancy To enable us to monitor the effectiveness of our recruitment schemes, we would like to know how you learned of this vacancy. If it was through a newspaper, magazine, website or other publication, please state its name or title, and date. Thank you for taking time to complete this questionnaire. Please note that this form is separated from the main application form prior to short listing.