Halton Regional Police Service Application for Employment Police Cadet Dear Applicant: Return application package with photocopies of the following documents if you have not already provided them: OACP Certificate of Results if obtained (not required) Current Resume High School Diploma High School Transcripts Post-Secondary Diploma or Degree (if obtained) Post-Secondary Transcripts Driver s Licence, including photocard Proof of Citizenship (Birth Certificate or Passport) Standard First Aid Certificate Basic Rescuer (Level C) CPR Certificate Waiver Recruiting Human Resource Services Halton Regional Police Service 1151 Bronte Road Oakville, ON L6M 3L1 Phone: 905-825-4777 / 905-878-5511 Fax: 905-825-5105 E-mail: PoliceRecruiting@haltonpolice.ca Website: www.haltonpolice.ca/joinus/cadet/index.php
IMPORTANT: Carefully review and follow instructions issued with this application. Please complete fully, by hand (print legibly) and use additional paper if space is insufficient. I. PERSONAL INFORMATION Surname First Name Middle Name Street Address include Unit Number, if applicable 3 rd, 6 th & 9 th digits of Social Insurance Number City Province Postal Code Email Address Home Telephone Number Cell Telephone Number Business Telephone Number Valid driver s licence with full driving privileges for driving in Ontario? How many demerit points do you have? Level C CPR certificate? If, provide expiry date. If, provide date of scheduled training. Standard First Aid Certificate? If, provide expiry date. If, provide date of scheduled training. Have you ever been convicted of any criminal offence for which a pardon has not been granted or issued? This means any fine, period of imprisonment, or period of probation offered by the court. If you were previously convicted under a federal statute, not including offences committed as a youth, have you been granted or issued a pardon? If, please provide details of the circumstances: In the event of a discharge related to a finding of guilt, not including offences committed as a youth, have the records been sealed by the Royal Canadian Mounted Police (RCMP)? Personal information obtained through the completion of this form is collected pursuant to section 43 of the Police Services Act for the purpose of assessing qualifications and suitability for employment as a police constable. Information collected may be disclosed for the purpose for which it was obtained or for a consistent purpose. Questions concerning collection or disclosure of this information should be directed to the Manager, Human Resource Services, Halton Regional Police Service, 1151 Bronte Road, Oakville, Ontario L6M 3L1 905-825-4777. HRS-020A (rev May 17)
II. EDUCATION Secondary School Attended Highest Grade or Level Completed attach equivalency certificate, if applicable Type of Certificate or Diploma Obtained Ontario Secondary School Diploma (OSSD) Obtained? Business, Trade or Technical School Attended Course Name Dates and number of years attended Licence, Certificate or Diploma Awarded Community College Attended Program Name Dates and number of years attended Licence, Certificate or Diploma Awarded University Attended Major Area of Study Dates and number of years attended Degree Awarded General Honours List other relevant courses, workshops, seminars, training, licences, certificates or degrees include dates HRS-020A (rev May 17) 2
III. EMPLOYMENT HISTORY Beginning with your present employer (if employed) or last employer (if unemployed) and continuing in reverse time order, list and describe every position you have held since the beginning of your work experience. If you have held two or more positions with the same employer, list and describe each position separately. Include military, part-time and summer employment. Please attach addition copies of III. EMPLOYMENT HISTORY, if required. Is your current employer(s) aware you are seeking employment? Please be advised that they may be contacted at a further point in the selection process. Present or Previous Employer Your Position Title Complete Mailing Address Supervisor s Name and Title Telephone Number include area code Reason for Leaving Present or Previous Employer Your Position Title Complete Mailing Address Supervisor s Name and Title Telephone Number include area code Reason for Leaving HRS-020A (rev May 17) 3
Present or Previous Employer Your Position Title Complete Mailing Address Supervisor s Name and Title Telephone Number include area code Reason for Leaving Present or Previous Employer Your Position Title Complete Mailing Address Supervisor s Name and Title Telephone Number include area code Reason for Leaving IV. MILITARY EXPERIENCE Do you have any previous military experience? If, please skip the following IV. MILITARY EXPERIENCE questions and proceed to V. QUALIFICATIONS. While in the military, were you ever the subject of a military or civil investigation? If, explain: HRS-020A (rev May 17) 4
While in the military, did you ever receive any type of disciplinary action? If, explain: Were you ever detained by Military Police for any reason at all? If, explain: V. QUALIFICATIONS List any qualifications you have which you believe are relevant to this position. VI. COMMUNITY SERVICE Beginning with the most recent and continuing in reverse time order, list your history of community service. Include all volunteer / charity efforts and community involvement. Attach additional sheets as required. Organization Your position title Supervisor s Name and Telephone number incl. area code HRS-020A (rev May 17) 5
VI. COMMUNITY SERVICE continued Organization Your position title Supervisor s Name and Telephone number incl. area code Organization Your position title Supervisor s Name and Telephone number incl. area code Organization Your position title Supervisor s Name and Telephone number incl. area code HRS-020A (rev May 17) 6
VII. OTHER APPLICATIONS Have you ever applied to any other police service(s)? If, complete the following: Name of Police Service Application Date month/year Is your application currently active? VIII. DECLARATION I hereby declare that the foregoing information is true and complete to the best of my knowledge. I understand that a false statement or omission may disqualify me from further consideration for employment or result in dismissal should I be appointed as a police constable / cadet. It is understood and accepted that I am involved in a competition process and that I may be declined at any stage of the process. Applicant s Signature Date dd/mmm/yyyy HRS-020A (rev May 17) 7