Microsoft Word - Toolkit for Selection of Chief Officers FINAL APP… · Web viewPlease list any...

Application for the post of

CHIEF CONSTABLE

Merseyside Police

NAME OF APPLICANT:

of 19

RETURN TO:

Dr. Joanne LiddyChief of StaffOffice of the Police and Crime Commissioner for MerseysideAllerton Police StationRose LaneLiverpoolL18 6JE

Or via email to [email protected]

CLOSING DATE: 5pm Monday 15th February 2016

mailto:[email protected]

1 – Details of Candidate

Surname: Forename(s):

Please also give any other names by which you have been known:

Current Job Title: Current Force & Dept/Unit/Division:

Work Address: Correspondence Address:

Telephone: Telephone:

E-mail: E-mail:

Please provide details of any special arrangements you would require on the day of your assessment (e.g. building access):

The Office of the Police & Crime Commissioner for Merseyside is committed to equality and diversity and welcomes applications from all suitably qualified candidates

of 19

2 – Experience

Please provide details of your past 3 posts, starting with the current or most recent.

Role Title: Force:

Start Date: Finish Date (if applicable):

Brief description of role and responsibilities, including key achievements (max 300 words):

of 19

Previous Role Title: Force:

Start Date: Finish Date:

Brief description of role and responsibilities, including key achievements (max 300 words):

of 19

Details of relevant training attended

Please list any educational qualifications you consider are relevant to the role for which you areapplying.

Colleges, university attended or correspondence courses taken

From To Qualifications and grade attained

Please list any training courses attended that you consider are relevant to the role for which you are applying (you should include here details relating to the Senior Police National Assessment Centre and the Strategic Command Course).

Course Title From To Summary of course contents

Please provide details of any Equality, Diversity and Human Rights training you have received.

Course Title From To Summary of course contents

of 19

3 – Key Personal Competencies

For each competency set out below please briefly describe how you meet the competency and provide an example.

Please refer to the personal qualities for descriptions of the competencies outlined (see Personal Qualities document in the Information Pack).

Serving the Public

Applicant’s response (max 200 words)

Referee Name: Contact number:

Referee Signed:

Official Use – Assessor Notes Rating:

of 19

Leading Strategic Change



Referee Signed:


of 19

Leading the Workforce



Referee Signed:


of 19

Managing Performance



Referee Signed:


of 19

Professionalism



Referee Signed:


of 19

Decision Making



Referee Signed:


of 19

Working with Others



Referee Signed:


of 19

4 – Disclosure

Please give details below of any outstanding criminal investigations or disciplinary proceedings being carried out in relation to your conduct and of any previous disciplinary offences which have not been expunged.

Number of days sickness absence over the last 12 months ________________

of 19

5 – Administration

Where did you see the post advertised?

Please give details of any relationships to members/officers of Merseyside Police or Office of the Police & Crime Commissioner for Merseyside. (Answer “none” if no relationship exists).

Canvassing members of the Office of Police & Crime Commissioner for Merseyside either directly or indirectly will disqualify a candidate from appointment.

Do you hold a current driving licence? Please provide type (provisional or full) and details of any endorsements or penalty points.

of 19

DECLARATION

Signature:..............................................

Name:.....................................................

Date:.....................................................

Please return your completed application form by no later than 5pm on Monday 15th February 2016 via email to [email protected]

And in hard copy by no later than Wednesday 17 February, 2016

Dr Joanne LiddyChief of StaffOffice of the Police and Crime Commissioner for MerseysideAllerton Police StationRose LaneLiverpoolL18 6JE

of 19

I declare that to the best of my knowledge and belief, all statements contained in this form are correct and I understand that canvassing of any member of the Office of the Police & Crime Commissioner for Merseyside or giving false information will make my application invalid and, if appointed, may lead to my dismissal.

I consent to the information supplied in this application being stored in computer/manual records for personnel and payroll purposes.

mailto:[email protected]

Appendix A

MONITORING EQUALITY AND DIVERSITY

The Office of the Police & Crime Commissioner for Merseyside and Merseyside Police are committed to treating everyone who uses their services fairly and with respect.

This form will assist us in monitoring the diversity of Merseyside Police’s employees.

You do not have to fill in this form, but it will assist us to offer better services. The information you provide will only be used to check what we do. We will always follow the laws that protect against its misuse such as the Data Protection Act 1998.

Gender

Male Female Prefer not to say

Is your gender identity the same as the gender you were assigned at birth?

Yes No

Ethnic Origin

White Welsh / English / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Other White (please state)* *

Mixed / multiple ethnic groups White and Black Caribbean

White and Black African

White and Asian

Other Mixed (please state)* *

Asian / Asian British Indian

Pakistani

Bangladeshi

Chinese

Other Asian (please state)* *

Black/ African/ Caribbean/ Black British

African

of 19

Caribbean

Other Black/African/Caribbean (please state)* *

Other ethnic group Arab

Other ethnic group (please state)* *

Prefer not to say

Religion/Belief

Buddhist Muslim

Christian Sikh

Hindu No Religion

Jewish Other

Prefer not to say

Sexual Orientation

Bisexual Gay man

Heterosexual Lesbian

Other Prefer not to say

Age

16 - 25 46– 59

26 - 35 60+

36 - 45 Prefer not to say

of 19

Disability

The Disability Discrimination Act defines a disabled person as someone with a physical or mental impairment which has a substantial and long term adverse effect on his or her ability to carry out normal day to day activities. (e.g. has lasted or is expected to last over 12 months)

Do you consider yourself to be disabled according to this definition?

Yes No Prefer not to say

Please specify any arrangements we can make to assist you if you are invited for interview/assessment

Please return with completed application form

of 19

Microsoft Word - Toolkit for Selection of Chief Officers FINAL APP… · Web viewPlease list any...

Documents

Transcript of Microsoft Word - Toolkit for Selection of Chief Officers FINAL APP… · Web viewPlease list any...