Fillable POLICE CONSTABLE Checklist of Mandatory Application Documents

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POLICE CONSTABLE Checklist of Mandatory Application Documents

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POLICE CONSTABLE
Checklist of Mandatory Application Documents
Surname: ____________________________________ _________________ _________________________
First Name: _______________ _________ ____________________________________________________
Middle Name: __________________________ _ _______________________________________________
The following list of documents must be included with your application package in chronological order. Applications received
missing any of the documents indicated below will not be accepted – you will receive an email requesting you resubmit your
entire completed package. This checklist must be submitted with your application package as well. Please do not submit
binders or folders with hard copy applications.
Initial the boxes when you have included the documents with your application package.
☐
Completed Checklist of Mandatory Application Documents
☐
Cover Letter and Resume
☐
☐
Comprehensive list of all volunteer work/community service completed during the past five years.
(Include name of
volunteer organization (phone number & address), scope of duties, years of service, contact information of supervisor)
☐
Completed Police Constable Application Form (handwritten in black ink
or typed with electronic signature
)
☐
Photocopy of Ontario Association of Chiefs of Police Certificate of Results and
any updates.
☐
Photocopy of Standard First Aid Certificate and CPR Level “C” Certificate.
*These certifications must remain valid throughout the Const
able Selection Process
☐
Proof of successful completion of four years of Ontario Secondary School Education or equivalency (copies of diploma
and transcripts required).
*If you do not have your high school diploma and it cannot be replaced, correspondence on formal letterhead from
either your School Board or High School indicating your name, dates attended and diploma awarded is required in
addition to your transcript.
☐
Proof of successful completion of Canadian Post-Secondary Education or equivalency (copies of diploma and transcripts
required from any post-secondary institution you attended, whether you completed your course of study or not, if
applicable)
*If degree/diploma is pending, please indicate anticipated date of receipt.
☐
Completed Authorization for Release of Information (handwritten in black ink
or typed with electronic signature
)
Confidential Applicant Survey Form (handwritten in black ink
or typed with electronic signature
)
Photocopy of Emergency or Standard First Aid Certificate and CPR Level "C" Certificate
*OACP Certificates obtained prior to December
31, 2019
will be accepted.
ONTARIO ASSOCIATION OF CHIEFS OF POLICE
1
Police Officer Application Form
IMPORTANT:
This application package it to be submitted with the Police Service you choose to apply to.
Please verify if Police Services require you to complete this form. Many Police Services utilize their
own individual form.
Section 1. Personal Information
© Copyright Ontario Association of Chiefs of Police, 2019. Reproduced with permission.
Last Name
Given Name (1)
Given Name (2)
Date of Birth (DD.MM.YY)
Complete Address (including Number, Street, Apt. Number, Lot, Concessions, Rural Route #)
City or Town
Province
Postal Code
Business or Day Phone Number: ( )
Cell Phone Number: ( )
Home or Evening Phone Number: ( )
E-Mail Address:
Yes
No
Are you at least 18 years of age?
Are you legally eligible to work in Canada?
Are you a Canadian citizen or a permanent resident of Canada?
Do you possess a valid driver’s license that permits you to drive an automobile in Ontario with full driving
privileges and do you have six or fewer demerit points?
Have you ever been convicted of any criminal offence under a federal statue 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 (this does not involve a finding guilt under the
YCJA or the YOA, or a finding of delinquency under the JDA), have you been granted or issued a pardon?
If yes, please provide details of the circumstance:
or in the event of a discharge relating to a finding of guilt (this does not involve a finding guilt under the
YCJA or the YOA, or a finding of delinquency under the JDA), have the records been sealed by the
R.C.M.P.?
Will you possess a valid CPR and First Aid Certificate by the time a job offer is given?
ONTARIO ASSOCIATION OF CHIEFS OF POLICE
2
Section 2. Education
Secondary School Attended
Highest Grade or Level Completed
(If applicable, attach equivalency certificate)
Type of Certificate or Diploma Obtained
Business, Trade or Technical School Attended
Course Name
Dates and number of years attended
Specify License, Certificate or Diploma Awarded
Community College Attended
Program Name
Dates and number of years attended
Specify License, Certificate or Diploma Awarded
University Attended
Specify Major Area of Study
Dates and number of years attended
Degree Awarded
General
Honors
Other relevant Courses, Workshops, Seminars, Training, Licenses, Certificates or Degrees
ONTARIO ASSOCIATION OF CHIEFS OF POLICE
3
Section 3. Employment History
Note: 1. Beginning with your present or previous employer 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 additional sheets as required)
2. Is your current employer(s) aware you are seeking employment? Please be advised they may be contacted
at a further point in the selection process.
Present or Previous Employer
Telephone Number
( )
Date of Employment: From To
Complete Mailing Address (include Postal Code)
Supervisor’s Name and Title
Your Position Title
Brief Description of Duties
Reason for Leaving
Present or Previous Employer
Telephone Number
( )
Date of Employment: From To
Complete Mailing Address (include Postal Code)
Supervisor’s Name and Title
Your Position Title
Brief Description of Duties
Reason for Leaving
Present or Previous Employer
Telephone Number
( )
Date of Employment: From To
Complete Mailing Address (include Postal Code)
Supervisor’s Name and Title
Your Position Title
Brief Description of Duties
Reason for Leaving
ONTARIO ASSOCIATION OF CHIEFS OF POLICE
4
Section 4. List any qualifications you have which you believe are relevant to this position:
List Qualifications here:
Have you ever applied to any other police service(s)
Yes No
If yes, complete the following:
Name of Service(s)
Date(s)
Is your application currently active?
1.
Yes No
2.
Yes No
3.
Yes No
4.
Yes No
5.
Yes No
6.
Yes No
7.
Yes No
8.
Yes No
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 competitive process and that I may be declined at any stage of the process.
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 officer. 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 addressed to:
TNT Inc
10 Milner Business Court, 3
rd
Floor
Toronto, ON M1B 3C6
Tel: 647-777-8313
Email: Support@oacpcertificate.ca
Applicant’s Signature:
Date:
click to sign
signature
click to edit
OACP Constable Selection System
© Copyright Queen's Printer for Ontario, 2011. Reproduced with permission.
CSS-00597
Revised July 2011
Police Constable Selection
APPLICANT SURVEY FORM
CONFIDENTIAL
PLEASE PRINT:
First Name: 3rd, 6th & 9th digits of SIN #
Last Name:
Date:
FOR OFFICE USE ONLY
Assigned No.
It is necessary to continually collect data to evaluate the OACP Constable Selection System for fairness and
effectiveness. This type of data collection is a normal part of Selection System development and evaluation. The
information in this survey is being gathered in accordance with the Police Services Act, Section 3
. Completion of
this form is voluntary, and all information provided will be kept confidential.
The information you provide on this form will not be used to assess your suitability for the position of
constable.
When you have completed this form, please enclose it with your Applicant Registration Form and return both
forms to the assessing police service or to the OACP-licensed assessment firm. Please remember to include your
name in the space provided.
Please note: In order for our records to be complete, please insert your name and
return this survey, whether or not you have chosen to complete it.
If you have inquiries about this survey, please contact the assessing police service or the OACP-licensed
assessment firm.
____________________________________________________________________________________
Please read each of the following questions carefully, and check the responses which apply to you. Mark answers
with a check-mark. Information which may assist you in responding to this survey is contained on pages 3
and 4.
1. Please indicate your sex (tick box) and age (in years):
[ ] Male [ ] Female [ ] Age
2. Please indicate (tick box) the highest level of education you have achieved:
High school diploma (or equivalency)
2-year college diploma
3-year college diploma
Bachelor’s degree (e.g., B. A., B. Sc., B. Ed., B.S.W., etc.)
Master’s degree (e.g., M.A., M. Sc., M. Ed., M.S.W., etc.)
Doctoral degree/ professional designation (Ph.D., Ed. D., M.D., P. Eng., LL.B., C.A., etc.)
3. Did you complete Police Foundations Training?
Yes. Go to Question 4. No. Go to Question 5.
4. At what institution did you take Police Foundations Training (tick box and specify name of
institution)?
Community college. Specify
Private college Specify
University Specify
Other Specify.
OACP Constable Selection System © Copyright Queen's Printer for Ontario, 2011. Reproduced with permission.
CSS-00597
2
5.
Which one of the following do you consider yourself to be:
[ ] Aboriginal (e.g., a member of the First Nations, Inuit or Metis people).
[ ] White (e.g., Caucasian: British, French, East or West European, Russian, Ukrainian,
Mediterranean).
[ ] Racial Minority (Racial minority status is based on race or skin colour, not place of birth
or nationality; see below for a list of categories which belong to “Racial Minority”).
6. If you consider yourself a member of a racial minority, indicate which one of the following
best describes your race or colour, regardless of your place of birth:
[ ] Black [ ] Chinese
[ ] Filipino [ ] Japanese
[ ] Korean [ ] Oceanic
[ ] Other South East Asian [ ] South Asian (Indo Pakistani)
[ ] Visible Minority Central or South American [ ] Visible Minority West Asian or North African
[ ] Person of mixed race or colour [ ] Other
(including at least one of the above)
7. Do you consider yourself to be a person with a disability?
“Person with a disability” means a person with a permanent physical, mental or medical condition that limits
the kind or amount of activities of daily living the person can do, and the kind or amount of work the person
can do.”
[ ] Yes - Proceed to Question 8 [ ] No - Proceed to Question 9
8. Do you feel that your disability will require some form of job accommodation?
[ ] Yes [ ] No
If you have answered “yes” to the above, the assessing police service or OACP-licensed assessment firm
will assess your needs in consultation with you.
9. To assist with future recruitment activities please indicate how you heard about the constable
opportunities:
[ ] Newspaper (Please indicate which) _________________________
[ ] Posting
[ ] Recruiting Presentation (Specify location) _________________________
[ ] Community Contact/Agency
[ ] School/College/University Guidance
[ ] Other (Specify) _________________________
10. What attracted you to apply?
OACP Constable Selection System © Copyright Queen's Printer for Ontario, 2011. Reproduced with permission.
CSS-00597
3
ADDITIONAL INFORMATION
Aboriginal Person
Other terms that are widely used to describe aboriginal people include: North American Indian, Native People or
Amerindian.
Aboriginal persons include people living on and off reserves plus Status, Non-Status, and Treaty Indians.
Aboriginals from Latin America, and East Indians should mark themselves as a racial minority.
Racial Minority Status
Racial minority status is based on race or colour, not nationality. Therefore, there are many persons who were born
in Canada or who are Canadian citizens who would consider themselves to be a visible minority because of their
race or colour.
The listing of racial minorities is for guidance only. While some categories refer to both nationality and racial origin, it
is racial origin, not nationality that should guide you. For example, if you are of Chinese origin but were born in
South America, you would select “Chinese””.
Racial Minority Groups
Black
: includes Canadian, African, American, West Indian and
South American Black.
Oceanic
: includes Polynesian, Micronesian, Melanesian and Fijian.
Other South East Asian
: includes Burmese, Cambodian, Laotian, Thai and
Vietnamese.
South Asian (Indo-Pakistani
): includes Bengali, Gujarati, Punjabi, Tamil, East Indian
(including those born in the Caribbean or East Africa),
Bangladeshi, Sinhalese and Sri Lankan.
Visible Minority Central or South American
: includes those from Central or South America who do not
select one of the other racial minority groups.
Visible Minority West Asian and North African
: includes visible minorities who are Lebanese, Egyptian,
Palestinian, Syrian, Iranian, Turk, Armenian, North African
and Mauritian.
OACP Constable Selection System © Copyright Queen's Printer for Ontario, 2011. Reproduced with permission.
CSS-00597
4
Disability
The examples below provide a guide to the different types of disabilities which may limit a person in the kind of
activities of daily living they can do and the kind or amount of work they can do.
Visual/Sight Impairment
: blindness or other serious impairment which is not readily subject to
correction through glasses or contact lenses and requires job
accommodation.
Hearing Impairment
: deafness or serious hearing loss which is not readily subject to
correction through a hearing aid.
Mobility/Dexterity Impairment
: due to any cause including paralysis, amputation or disease, and
requiring the use of a wheelchair or other device, or which seriously
limits your ability to walk or manipulate objects.
Speech Impairment
: limited in the ability to speak and be understood from causes such
as muteness.
Learning Impairment
: includes dyslexia and other learning disabilities due to development
impairments or brain injury.
Emotional or Psychiatric Impairment
: includes serious psychiatric disorders such as manic or chronic
depression, schizophrenia or any other serious disorders.
Other Impairments
: epilepsy, diabetes and other permanent medical conditions, only if
you consider that your opportunities for employment or progression
are limited or affected by your condition.
CONSTABLE SELECTION SYSTEM
2019 © OACP CSS Administrator, C/O TNT Inc.
1
CONSENT AND RELEASE OF LIABILITY FORM
Last Name, First Name (Please Print) (date of birth: year, month, day)
Please read the following form carefully.
The purposes of parts A and B of this form are to authorize police services and other
individuals and entities noted below to collect, to use and to disclose personal
information about you for the purpose of assessing your abilities to be a police constable
under the Ontario Constable Selection System, and for related research, information and
statistical tracking.
The purpose of part C of this form is to release any of the individuals or entities
named on this form from liability that might arise as a result of the collection, use, or
disclosure of your personal information in accordance with parts A and B.
A. CONSENT/ASSESSMENT
I hereby authorize any police service in Ontario to which I have submitted an
application to be hired as a constable, and that is a licensed member of the Constable
Selection System, to request and obtain personal information about me as set out in
Page 2 from any or all of the following individuals or entities:
▪ The Ontario Association of Chiefs of Police (“OACP”), which is licensed by the Ontario
Government to operate the Constable Selection System, stores personal information
belonging to police constable applicants in a secure electronic database, and uses
this information to track demographic data and assessment results;
▪ The OACP Constable Selection System-licensed assessment firm “TNT” Inc, which
provides assessment services on behalf of the OACP, and which collects assessment
results as well as the personal information required for Constable Selection System
registration;
CONSTABLE SELECTION SYSTEM
2019 © OACP CSS Administrator, C/O TNT Inc.
2
▪ The Ontario Ministry of Solicitor General responsible for the Community Safety and
Correctional Services, which is the licensor of the Constable Selection System, and
which conducts research using personal information to support the validity and
reliability of the Constable Selection System;
▪ The Ontario and National Sex Offender Registries;
▪ The Ontario Ministry of Transportation, which maintains driving records of Ontario
residents;
▪ All Ontario police service or law enforcement agency, which may hold personal
information about me;
▪ The Canadian Police Information Centre, which is owned by the RCMP, and which
maintains a computerized system to provide law enforcement agencies with
information on individuals with criminal records;
▪ All health care practitioners (including without limitation, doctors, nurses,
psychologists and their agents) who has provided me with health care treatment,
either as part of this constable selection process or otherwise;
▪ All previous employers who may hold personal information about me;
▪ One or more consumer reporting agencies, which maintains credit or other personal
information about a consumer;
▪ Any educational institution in which I have been, or am currently, enrolled and which
has information about me, including my grade or performance results; and,
I irrevocably authorize the above-noted individuals or entities to collect personal
information about me from sources other than myself and I consent to their using this
information as they require and/or as is described above, and I consent to the disclosure
of such personal information to a police service that is licensed member of the Constable
Selection System and to whom I have applied for employment as a police officer.
CONSTABLE SELECTION SYSTEM
2019 © OACP CSS Administrator, C/O TNT Inc.
3
I further acknowledge that any of the above-noted individuals or entities may disclose
to the requesting police service to which I have submitted an application any or all of the
following records, including any parts of the following records:
Academic records and transcripts;
Employment records (Police Service
and other), including performance
evaluation / reviews, reference, discipline,
complaint and attendance information;
Police records and history of law
involvement, including criminal and
provincial reports and convictions, and
intelligence information;
Police service applications;
Medical information;
Information from background and
security checks (including CPIC, NCIC,
Interpol, Vulnerable checks, NICHE,
CBSA, YCJA & YOA records etc.);
Financial information, including credit
bureau check;
Driving record;
Physical, psychological, visual, aptitude
and other employment- related tests,
including but not limited to MMPI-2 -
questions, answers and scores, and the
interview notes, summaries, opinions,
assessments and evaluations of
psychologists;
Applicant survey information; and,
Training record.
Social networking websites, blogs,
chatrooms, email or other online content.
B. CONSENT/RESEARCH
I understand that personal information about me may be required occasionally for research
purposes, and in particular for documenting findings and trends, and for reviewing the validity and
reliability of the Constable Selection System. I hereby consent to any of the personal information
collected about me, pursuant to this form or at any point while I am being trained to be a constable,
to be used and to be disclosed to a researcher or to the OACP/Ministry/TNT for these purposes.
I understand that in providing this consent no personal information that identifies me shall ever be
(unless by way of court order) published in a publication that is available to the general public.
CONSTABLE SELECTION SYSTEM
2019 © OACP CSS Administrator, C/O TNT Inc.
4
C. RELEASE OF LIABILITY
By signing this form, I understand, acknowledge and irrevocably agree that in
consideration for applying to be a constable pursuant to this Constable Selection System,
I hereby release and forever discharge all of the individuals, entities, and classes of
individuals and entities referred to on this form, and their agents, licensees, employees,
directors, officers, and subcontractors, including but not limited to Her Majesty the Queen
in Right of Ontario, Her Majesty the Queen in Right of Canada, the OACP, TNT and any
Ontario police services board, and their respective agents, licensees, employees,
directors, officers, and subcontractors, from any and all actions, causes of action, claims,
demands, and remedies, for any and all damages, losses, injuries and expenses of any
nature or kind howsoever arising, which hereafter may be sustained by me in connection
with the collection, use, and disclosure of information about me in accordance with the
consents provided by me in this form, and from the use or reliance upon information about
me obtained in accordance with these consents.
And I further agree that this Release of Liability shall apply to and be binding on each of
my heirs, administrators, executors, assigns.
I have read both pages of this Consent and Release of Liability Form, and by signing
below, I certify that I understand its content, agree to its terms, and am at least eighteen
(18) years of age.
Candidate’s Name (Please Print) Name of Witness (Please Print)
Candidate’s Signature Signature of Witness
Date of Signatures:__________________________________________________________
Personal information obtained through the completion of this form is collected pursuant to section 43 of the
Police Service Act 1990 for the purpose of assessing qualifications and suitability for employment as a
police officer. Information collected may be disclosed for the purpose for which it was obtained or for a
consistent purpose. Questions concerning the collection or disclosure of this information should be
addressed to OACP-TNT Administrator listed below in foot note.
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POLICE CONSTABLE Checklist of Mandatory Application Documents

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Completed 19 March 2021

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