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Police Cadets Application Form
Please complete in black or blue ink ONLY.
You will become eligible to apply before you have left Year 11. However, you
must have left Year 11 at secondary school or be in your first year at sixth form
or college to become a Police Cadet.
You MUST reside in the area of West Mercia Police.
Please attach your CV and/or letters of recommendation if you have any.
DATA PROTECTION ACT 1998
The information you provide in this application form will be entered into a
manual filing system and onto a computerised recruitment system and as such
is covered by the rules set out by the Data Protection Act 1998.
Switchboard: 0300 333 3000
www.westmercia.police.uk
PROTECT – PERSONAL (when completed)
PROTECT – PERSONAL (when completed)
Ref no:
A109 CAD
Rev 01/13
Police Cadets Application Form : Personal Information
1. Personal Details
Surname/family name(s):
Forename(s):
Previous family name(s):
Previous forename(s):
Place of birth:
National Insurance No:
Date of birth:
Age:
Nationality:
Do you live in the area of West Mercia?
Yes
No
Do you attend a school in the West Mercia area?
Yes
No
If Yes, please indicate which county:
Herefordshire
Shropshire
Worcestershire
Which year are you currently in?
Have you lived in the UK continuously for three years?
Yes
No
(To qualify for West Mercia Police security vetting, you must have been permanently resident in
the UK for at least three years).
Non-UK British Citizens: Is your stay in the UK free of restrictions?
Yes
No
You must include a copy of your passport which shows that your
stay in the UK is free of restrictions. Photocopy of passport included?
Yes
No
If no, please state why not:
2. Contact Details
Current full
postal address:
Address line 1:
Town/city:
County:
Postcode:
Email address:
How long have you been residing at the above address:
year(s) and
month(s)
Telephone numbers (including area code)
Please indicate your preferred method of contact:
Home:
Home phone
Mobile
Mobile:
Post
Email
3. Availability
Volunteer Police Cadets meet every Thursday from 6.30-9.00pm.
Are you able to attend this day on a regular basis?
Yes
No
You may be required to volunteer for additional operational duties at weekends.
Are you able to work weekends with prior notice?
Yes
No
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4. Education, Training and Qualifications
Name of school/college/
university attended
From - To
(MM/YYYY)
Qualification
Grades
obtained/
projected
Date
obtained
5. Other Relevant Training Courses Completed
6. Any Other Relevant Skills Or Interests
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7. Employment History (if any - please include part-time and/or volunteering work)
Current or most recent employer
Organisation name:
Address:
Town/city:
County:
Postcode:
Email:
Tel no:
Post title:
Present salary
Date started: (MM/YYYY)
Date finished: (if applicable)
(MM/YYYY)
Period of notice
required:
Current/most recent duties and responsibilities:
Reason for leaving:
Previous employment
Organisation name:
Address:
Town/city:
County:
Postcode:
Email:
Tel no:
Post title:
Date started:
[MM/YYYY]
Date finished:
[MM/YYYY]
Duties and responsibilities:
Reason for leaving:
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8. Supporting Statement
To help us get to know you better, please provide any additional information that you feel will
support your Police Cadet application. (Things you may like to consider are why you want to be
a Cadet, what qualities you possess and what you hope to gain from the scheme).
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9. Disability
The Equality Act 2010 prohibits discrimination, victimisation or harassment in employment,
including recruitment. West Mercia Police welcomes the recruitment of people who have
disabilities.
Do you have a disability you wish for us to know about,
including any learning difficulty, e.g. dyslexia?
Yes
No
In support of your application, please let us know if you believe there are any reasonable
adjustments West Mercia Police should be making to enable you to do the role of a Police
Cadet or assist with your application.
10. References
Please provide the names of two people, one which must be a school teacher from your school
that you attend, (NOT family members, relatives or close friends) who would be prepared to
provide a character reference. They must have known you for at least the last two years.
School Teacher
Full name:
School:
Full postal
address
(including
postcode):
Email:
Tel no:
How do you know this person?
Have you asked them for their consent to act as a referee for you? Yes
No
Other referee
Full name:
Full postal
address
(including
postcode):
Email:
Tel no:
How do you know this person?
Have you asked them for their consent to act as a referee for you? Yes
No
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11. Family Details (use BLOCK CAPITALS)
Please tell us about your family (where ever they live) and any other persons (aged 16+) living
at your address:
Relationship
(e.g. mum, dad)
Family name
Previous name(s)
First name(s)
Signature of applicant:
Date of birth
Place of birth
Date:
Print name:
Signature of parent/guardian:
Date:
Print name:
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DISCLOSURE - PLEASE READ CAREFULLY
Convictions and Cautions
Owing to the sensitive nature of our environment it is a requirement for prospective Cadets to
disclose all convictions, including “spent” convictions. Volunteering with West Mercia Police
Cadets is covered by the exemption order of 1975 relating to section 4(2) and section 4(3)(b) of
the Rehabilitation of Offenders Act 1974. A police vetting procedure will be carried out for that
purpose.
Have you ever been convicted for any offence or had formal cautions by
police for any offence or any bind-overs imposed by any court?
(You must include traffic convictions and appearances before a
court martial and any cautions as a juvenile).
Yes
No
If you have answered YES, please enter full details below:
Date (most
recent first)
Offence/alleged offence
Result (if known)
Do you have any impending prosecutions?
Court/police station
involved
Yes
No
Yes
No
If YES, provide full details as above:
Have you ever been involved in a criminal investigation (whether or not
this led to any prosecution) or have ever been associated with criminals?
If YES, please give details:
WEST MERCIA POLICE reserves the right to conduct local checks on all individuals BEFORE making
the decision to offer an interview. The Chief Constable retains the right to reject any application without
giving a reason.
I am applying to become a Police Cadet. I hereby declare that the information I have given in this
application form is true to the best of my knowledge and belief. I understand that if I am accepted as a
West Mercia Police Cadets, I must inform West Mercia Police immediately of any changes in my
personal circumstances.
Signature of applicant:
Date:
Print name:
If you are under 18 we will also require:
Signature of parent/guardian:
Date:
Print name:
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Equal Opportunities
The Police Service is an equal opportunities employer and is determined to ensure that:

the workforce reflects the diverse society which it serves and that the working environment is free from any form
of discrimination, victimisation or harassment;

no job applicant or employee is treated more or less favourably on the grounds of sex, gender reassignment,
sexual orientation, age, marital status, pregnancy and maternity, race, colour, nationality, ethnic or national
origins, religion or belief or disability. This is subject to the Police Service engaging in a positive action scheme
which intends to overcome or minimise a person's disadvantage; and

no job applicant or employee is disadvantaged by a provision, criterion or practice which cannot be shown to be
a proportionate means of achieving a legitimate aim.
The information on this form is for monitoring purposes only and will not be made available to those assessing your application.
The information supplied will be treated in the strictest confidence and will not affect your job application in any way.
Completion of this section of the application form is voluntary, but the information will help us to ensure equality of opportunity.
This information forms no part of the recruitment process. It will be detached from your application on receipt.
Age
Under 18
18-24
25-35
Sex
36-60
Over 60
Female
Civil partnership
Male
Cohabiting/partnered
Intersex
Divorced
Transsexual
Married
Transgender
Separated
Prefer not to say
Single
Gender identity (optional)*
Disability**
Marital status
Yes
Widowed
No
Prefer not to say
Race
White
British
Sexual orientation
Bisexual
Irish
Gay/Lesbian
Any other White background
Heterosexual
White and Asian
Prefer not to say
Mixed
White and Black African
Religion and Belief
Buddhist
White and Black Caribbean
Christian
Any other Mixed background
Hindu
Bangladeshi
Jewish
Indian
Muslim
Asian or Asian British
Sikh
Pakistani
Other (please state):
Any other Asian background
African
None
Caribbean
Prefer not to say
Black or Black British
Any other Black background
Chinese or other ethnic group
Chinese
Any other (please state:
)
Prefer not to say
*
If you identify yourself as transsexual,
transgender (in that you have effected a
permanent change of gender identity) or intersex
(being an individual displaying sexual
characteristics of both male and female), please
state which group you identify with.
** Under the Equality Act 2010 a person is defined as disabled if they have (or have recovered from) a physical or
mental impairment and the impairment has a substantial and long-term adverse effect on the person's ability to
carry out normal day-to-day activities. Cancer, HIV infection and multiple sclerosis are all conditions that are
defined under the Equality Act 2010.
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