Independent Control Room Visitor Application Form

Thank you for your interest in becoming an Independent Control Room Visitor for the Northamptonshire Police and Crime Commissioner.

Name*
Address*
Telephone Number*
Email*
Organisation/Company Name (not necessarily applicable)
Which local IAG group would you like to be part of? Please select one.*
- Northampton
- East Northamptonshire and Wellingborough
- Daventry and South Northamptonshire
- Kettering and Corby
Why would you like to be a member of the Northamptonshire Independent Advisory Group?*
Please explain the skills and experience you think you could bring to the Independent Advisory Group:*
Some examples could be experience you have of working with others, times when you have questioned and challenged other people’s views in a constructive manner, any additional skills that you would be happy to use when working with us (e.g. which languages do you speak, are you able to use sign language etc)
Please describe a time when you have demonstrated the ability to listen to the views of others and have considered issues of equality and diversity in your actions or decisions taken:*
Please give the details of two referees:*
One should be a professional e.g. teacher/solicitor, accountant/community leader. The other can be a character reference who should have known you for at least 2 years (and should not be a family member)
Address*
Telephone*
Email*
Referee 2 Name*
Address*
Telephone*
Email*