Staffordshire Police Citizens' Panel Recruitment Form

Recruitment Form

Please indicate below which panel(s) you would like to become a member of. You may select more than one panel if you wish. Then complete the remainder of the form and press the 'submit' button to confirm your interest.
(Please note: fields marked with * are required.)

I wish to become a member of the:

Citizens' Panel

Black and Minority Ethnic satellite panel

Disability satellite panel

Lesbian, Gay, Bisexual and Transgender satellite panel

Religion and Belief panel

Victim and Witness satellite panel

	Forename*

	Surname*

	Address 1

	Address 2

	Address 3

	Address 4

	Postcode* (Please use CAPITALS)

Thank you for registering your interest in becoming a member of the Staffordshire Police Citizens' Panel or related Satellite Panels'. We will now send you a full recruitment form in the post which you will need to sign and return to us at the address shown below. Your signature will be used to indicate your voluntary agreement in becoming a member of the Panel(s).

Corporate Services Department
The Chief Constables Office
Staffordshire Police Headquarters
Cannock Road
Stafford
Staffordshire
ST17 0QG

Telephone: 01785 232284
Email: citizen.panel@staffordshire.pnn.police.uk

Staffordshire Police Citizens' Panel Programme

Recruitment Form