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Northamptonshire Youth Commission Application
Name
First
Last
Address
Street Address
Address Line 2
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Portugal
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Rwanda
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Saint Helena
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Saint Lucia
Saint Martin
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Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Date of Birth
*
Month
Day
Year
Email
Phone
Social Media
If you are selected, we would like the ability to be able to connect with you via social media. Please provide your social media handles below.
Name of School/College/University/Employer/Youth Organisation
Give details of what you are doing there. If none of the above apply, please use this box to let us know what you are up to.
Parents/Guardians/Carers
First
Last
Parents/Guardians/Carers If you are under 18 years old, please ask your parent/guardian/carer to provide the following details too. We will require written permission from them before we can confirm your place.
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Mobile Phone
Phone - Landline
Email
Post Title
Section 2: More about you
Why do you want to join the Youth Commission for Police, Fire and Crime for Northamptonshire?
Why do you think you should be selected for the Youth Commission?
For example, you might have specific skills, knowledge or life experiences that you’d like us to know about.
Please tell us about yourself. Sum up your personality, interests or strengths.
For example if you have skills such as photography/social media or an insight into the experiences of a particular group of young people e.g. LGBTQ, do let us know.
Section 3: Your availability
Days and Time
*
Monday Evening
Tuesday Evening
Friday Evening
Saturday Morning
Saturday Evening
We will need to plan when the Youth Commission can get together. This will be approximately once a month. Please tick the box above for any session days/times that you WOULDN'T normally be able to do.
Section 4: Self-declaration
We are looking for people with a wide range of experiences, including those who may have direct experience of the police and justice systems. We welcome applications from young people with these life experiences and would encourage you to apply. Please use the box below to tell us about any personal experiences you have had with the police, criminal justice system, or as a victim of crime. This will be kept anonymous to others within the group. If there is no personal experience you want to share with us, please state: NONE If you have any questions about this, please e-mail commissioner@northantspfcc.pnn.gov.uk
Details
Section 5: Equality and diversity
Under the Data Protection Act 2018, we have a legal duty to protect any information we collect from you. The information will only be used for the purposes of informing us of the diversity of people applying to the Youth Commission. The data will not be kept longer than is necessary to do so, up to a maximum of 5 years. We will not share your personal details with any other agency unless we have concerns that you or another individual may be at risk of harm or if it is required by law. We do not collect personal information for commercial purposes. This information helps us to look at differences in opinion between groups of people. All information provided in the following sections is strictly confidential. However, if you still feel uncomfortable answering any of these questions, please feel free to choose the 'prefer not to say' option.
Your gender
Male
Female
Prefer not to Say
Your Religion or Belief
None
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Any other
Prefer not to say
White
British
English
Northern Irish
Gay man
Gay Woman / Lesbian
Questioning
Other
Prefer not to say
Your Sexual Orientation
Straight
Bisexual
Transgender
Gay man
Gay Woman / Lesbian
Questioning
Other
Prefer not to say
Your ethnic origin
White
British
Northern Irish
English
Welsh
Scottish
Gypsy or Irish Traveller
Other
Mixed/multiple ethnic background
White and Black Caribbean
White and Asian
White and Black African
Any other/ multiple ethnic background
Asian/Asian British
Bangladeshi
Chinese
Indian
Pakistani
Any other Asian background
Black/African/Caribbean/Black British
African
Caribbean
Any other Black/African/ Caribbean background
Other Ethnic Group
Arab
Any other ethnic group
Prefer not to say
Disabilities
Do you consider that you have a disability?
Yes
No
Prefer not to say