Please read the criteria and instructions overleaf (Page 3) carefully before completing this application form
JUSTICE OF THE PEACE
APPLICATION FORM
A. APPLICANT INFORMATION
LAST NAME : Attach Photograph Here
FIRST NAME :
MIDDLE NAME :
Single Married Divorced Widowed
MARITAL STATUS :
NATIONALITY : TRN :
DATE OF BIRTH :
CONTACT INFORMATION
RESIDENTIAL ADDRESS : ___________________________________________________________________
____________________________________________________________________________________
Tel # :
E-MAIL ADDRESS :
B. EMPLOYMENT INFORMATION
OCCUPATION : __________________________________________________________________________
NAME OF ORGANIZATION : ________________________________________________________________
ADDRESS: ______________________________________________________________________________
Tel #:
C. EDUCATION
INSTITUTION (S) FINAL YEAR LEVEL ATTAINED OR CERTIFICATION RECEIVED
OF STUDY
D. COMMUNITY SERVICE
Organization / Type of Role/ Nature of Location Period Involve
Community Service Involvement City/Country (month/year)
E. OTHER INFORMATION
NEXT OF KIN : ____________________________________________________________________
ADDRESS: ______________________________________________________________Tel#_________
RELATIONSHIP: _____________________________________________________________
SP SPECIFY AREAS OF INTEREST FOR VOLUNTARY SERVICE (Tick the appropriate item /s)
Communities Health & Wellness (Mini Health Fairs)
Deportees Processing
Court Related Matters (Petty Session Court/Drug Court/Children Court, Other)
Educational Activities
Lock-Up Visitation
Mentorship
Sick & Shut-Ins Visitation (Of Justices of the Peace)
Spirit Licensing Authority (Court)
Support of Abandoned Inmates (Prison)
Victim Support
Mediation
Restorative Justice
Child Diversion
1. Have you previously submitted a Justice of the Peace Application Form?
Yes No
1b. If YES, please state when: __________________________________________________________
2. Have you ever been charged or convicted of a criminal offence? Yes No
3. Are you currently involved, or expect to be involved in any litigation in the near future?
Yes No
4. Are you in default of a family support obligation? Yes No
5. Are you the subject of any current court order? Yes No
5b. If you answered “Yes” to any of these questions, please provide a detailed explanation.
______________________________________________________________________________
6. Please provide information on any employment or community-related recognition or awards.
______________________________________________________________________________
7. Would you be willing to participate in mandatory training and educational courses from time to time?
Yes No
8. Are you aware that you will be required to pay for the replacement of your Seal in the event that
negligence resulted in its loss or damage? Yes No
9. Would you agree to have a discrete investigation done on you?
Yes No
_________________________________ ___________________________
Applicant’s Signature Date of Application
FOR OFFICIAL USE ONLY
Name Position Date
2
GUIDELINES FOR JUSTICE OF THE PEACE APPLICATION FORM
Please read carefully before completing the application form.
(I) Photocopied applications will not be accepted.
(II) In order for the application to be considered, the Applicant must be:
A Jamaican citizen who is resident in Jamaica at the time of appointment, and is able to read and
speak English fluently;
Be at least 23 years old;
A person of unquestionable integrity and who commands the respect and confidence of the local
community;
A person who has given good service to the community and the wider Jamaica and who
demonstrates the potential for continued service; and
Able to communicate and interact at all levels and with all types of individuals in his/her
community.
The following MUST be submitted with the application:
1. Proof of birth date –
i. A certified photocopy of applicant’s Birth Certificate, OR
ii. A certified photocopy of the page of the applicant’s Jamaican Passport which
carries the date of birth
2. Proof of ALTERNATIVE Surname / Any other name(s) –
i. A certified photocopy of Marriage Certificate is required if Surname on
application is different from Surname on Birth Certificate and/or Passport due
to marriage.
ii. A certified photocopy of Adoption Licence/Order is required if Surname on
application is different from Surname on Birth Certificate and/or Passport due
to adoption.
iii. A certified photocopy of Deed Poll is required if any name on application is
different from any name on Birth Certificate and/or Passport due to change of
name.
3. Two (2) letters of Recommendation from any of the following categories of persons:
Pastor
Justice of the Peace
Senior Police Officer
4. Two (2) certified passport-sized photographs MUST be presented along with this form.
They must be professionally produced photographs taken not more than six (6) months prior to the
application. The photographs should be taken in colour.
Certification of the photographs and documents can be done by an Attorney-at-Law, Justice of the
Peace, Bank Manager, Credit Union Manager, Clerk of Courts, Marriage Officer, Dental Surgeon,
Medical Practitioner, Police Officer (Gazetted Ranks), Passport Officer or Principal (Primary,
Secondary & Tertiary Educational Institutions). Please note that the official who certifies the
photographs and documents cannot be a member of the family of the Applicant and must have
been personally acquainted with the Applicant for a period of not less than five (5) years. The
certification must be done on the reverse side of each photograph with the following inscription
above his/her signature: I certify that this is a true photograph of …………………………………... (Insert
applicant’s name and date of certification).
5. The completed Application Form must be submitted to the Custos of the Parish in which the
Applicant reside or work.
