ICV application form

1. Title *This question is required.

2. Forenames (in full) *This question is required.

3. Surname: *This question is required.

4. Any other names by which you have been known

5. Place of birth *This question is required.

6. National Insurance Number *This question is required.

7. Nationality

8. Contact telephone number/s *This question is required.

9. Email address *This question is required.

10. Permanent address *This question is required.

11. How long have you lived at this address? *This question is required.

12. If less than 5 years, please give details of former addresses within this time

13. Name & Address of Employer (if relevant)

As per section 22 of the Code of Conduct, care must be taken to avoid a conflict of interest

14. Are you currently a police officer, police employee, police volunteer, serving in the special constabulary, or currently a magistrate? *This question is required.

15. Why do you wish to be an Independent Custody Visitor? *This question is required.

16. How did you learn about Independent Custody Visiting?

17. Have you been an Independent Custody Visitor before? If yes, please give details. *This question is required.

18. Having read the materials sent with this application form, what skills (including languages), experience and qualities do you feel you would bring if you were appointed? Please include details of any other voluntary work you have done. *This question is required.

Please give details, including initials and correct form of address, of 2 referees, not related to you, who have agreed to support your application by way of a character reference. Please include paid or voluntary work experience referee/s if this is possible.

19. Referee 1 name: *This question is required.

20. Referee 1 address *This question is required.

21. Referee 1 email address *This question is required.

22. Referee 1 occupation *This question is required.

23. Referee 2 name: *This question is required.

24. Referee 2 address *This question is required.

25. Referee 2 email address *This question is required.

26. Referee 2 occupation *This question is required.

The completion of questions 27 & 28 is a requirement in all applications but may not necessarily disqualify an individual from becoming an Independent Custody Visitor.

27. Have you ever been convicted of an offence punishable by imprisonment within the last 5 years or do you have any criminal convictions? *This question is required.

28. If yes, please give details. If no, please enter N/A.

*This question is required.

DECLARATION

I agree to the Office of the Police and Crime Commissioner making enquiries in connection with my application as a Volunteer.
I have read the information supplied to me concerning the duties and responsibilities of an Independent Custody Visitor, and would be prepared to complete / attend training as necessary and comply with the appropriate undertaking in respect of confidentiality if my application is accepted.

I am at least 18 years old.

I declare that the information I have provided is accurate to the best of my knowledge and belief.

I agree to the Office of the Police and Crime Commissioner holding my information securely until recruitment commences or my notification of withdrawal of my application.

Our Privacy Policy is located at https://www.thamesvalley-pcc.gov.uk/privacy/

29. Signed *This question is required.

30. Date *This question is required.