authorize the London Police Service to collect from any physician, psychologist, employer, organization or person to whom a signed copy of this authorization or a photocopy or fax thereof is delivered, to provide any information, opinion, reports, records, documents, or copies thereof in any form which may be requested in connection with my application for employment with any police service in Canada, and any subsequent training and employment.
I understand that personal information about me, including but not limited to academic, employment history including disciplinary records, medical, physical, financial, character, and criminal record data from sources other than myself will be collected through the selection process with my consent.
I understand that information about me will be used to assess my qualifications and suitability in relation to my application for employment as a civilian employee. Any information collected is the property of the London Police Service.
I consent to the collection, use, disclosure, transmittal and examination by the London Police Service, or any other police service requesting this material, of all information compiled about me, including: academic records and transcripts, employment records, police records and history of law involvement, police service applications, medical information, background and security checks, financial information including credit bureau check, driving record, physical, psychological, visual, aptitude, and other employment related tests and interview information provided during the selection process, training records, and police service performance review records. I further consent to a criminal record check for a sexual offence for which a pardon has been granted or issued.
I further understand that any questions I may have concerning the collection, use, or disclosure of this information should be addressed to:
Superintendent, Human Resources Division
London Police Service,
601 Dundas Street, London, Ontario, N6B 1X1
519-661-5660
