CHECK LIST FOR YOUR 2014 YIPI INTERVIEW

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Please dress appropriately for your interview.

Please bring the following documents with you on the day of your interview:

1. COMPLETED Personal History Form. Should you need a second copy it can be found at http://www.torontopolice.on.ca/careers/civ_forms_resources.php

2. COMPLETED Waiver Form. This form should be signed by yourself and a parent/guardian, if you are under 18 years old.

3. COMPLETED Recommendation Questionnaire. This form should be completed by someone who has known you for at least three years. The reference can be a neighbour, teacher, community or religious leader. However, it cannot be a peer or a relative.

4. Proof that you are a Canadian Citizen or Permanent Resident (i.e. Canadian Birth Certificate, Citizenship Card, Permanent Resident Card, etc.). Please bring the original document and a photocopy of the document to the interview.

5. Social Insurance Card. Please bring the original card and a photocopy of the card. If you do not have one and have made an application for one, please bring the document that you were given when you applied.

If for any reason you are unable to attend please send an e-mail to yipi@torontopolice.on.ca with; your full name, phone number and date/time your interview was scheduled for.

Thank you.

CIVILIAN
PERSONAL HISTORY FORM

Personal information on this form is being collected pursuant to Section 29 of the Municipal
Freedom of Information and Protection of Privacy Act and under the authority of the Police
Services Act, for the purpose of assessing your suitability for employment.

IMPORTANT

1. All sections of this form must be answered. When a question is not applicable, mark ‘N/A’.

2. Complete this form by printing neatly in black ink.

3. If extra space is required, use the additional space provided on the last page of this form.

4. Any questions regarding the collection of this information should be directed to:

Employment Unit
Toronto Police Service
40 College Street, Toronto, Ontario M5G 2J3
(416) 808-7150

Name

Address

City, Province and Postal Code

Social Insurance Number (S.I.N.)

Home Telephone Number

Cellular Telephone Number

Business Telephone Number

Date of Birth (yyyymmdd)

Male
□

Female
□

Driver’s Licence Number

Province of Issue

Email addresses

EMP 71 revised 2010-01-06 1

1. IF YOU HAVE USED A SURNAME OR A GIVEN NAME OTHER THAN THE ONE LISTED ON THE FIRST PAGE, GIVE DETAILS BELOW.

Changed From

Changed To

Date Changed (yyyymmdd)

Changed From

Changed To

Date Changed (yyyymmdd)

2. PROVIDE DETAILS BELOW WITH REGARDS TO SPOUSE/COMMOM LAW SPOUSE/PARTNER/COHABITANT/ROOM-MATE(S)
Surname

First Name

Middle Name(s)

Street and Number (include apartment number)

Telephone Home

Business

Cell

City or Town

Province

Date of Birth (yyyymmdd)

3. IF PERSON IN SECTION 2 HAS USED A SURNAME OR A GIVEN NAME OTHER THAN THE ONE LISTED ABOVE GIVE DETAILS BELOW.

Changed From

Changed To

Date Changed (yyyymmdd)

Changed From

Changed To

Date Changed (yyyymmdd)

4. PROVIDE DETAILS BELOW OF PARENTS OF SPOUSE/COMMOM LAW SPOUSE/PARTNER/COHABITANT/ROOM-MATE(S). IF DECEASED ALSO INDICATE DATE OF DEATH.
Father’s Surname

First Name

Middle Name(s)

Street and Number (include apartment number)
Telephone Home

Business

Cell

City or Town

Province

Date of Birth (yyyymmdd)

Mother’s Surname

First Name

Middle Name(s)

Street and Number (include apartment number)

Telephone Home

Business

Cell

City or Town

Province

Date of