(All fields are required)
1. Advertising Avenue:
Where did you see this position advertised?
2. Eligibility to work in New Zealand:
Are you a New Zealand Citizen or a Permanent Resident?
3. Eligibility to work in New Zealand:
Which option best describes you legal right to work in New Zealand
4. Criminal Record Check :
Have you ever been convicted of a criminal offence?
5. Criminal Record Check:
Are you awaiting the hearing of charges in a civil or criminal court of law in New Zealand or overseas?
6. Police Vetting Permission :
Do you consent to the Trust undertaking a criminal records check?
Which role do you wish to apply for?
Do you have experience working with people with disabilities?
How many years experience do you have working with people with disabilities?
Do you have any qualifications working with people with disabilities?
11. Drivers licence:
Do you hold a full, clean New Zealand Drivers licence?
Do you have any past or present medical conditions e.g asthma, heart conditions, high blood pressure, work related stress that may impact on your ability to perform the tasks and duties outlined in the job description?
Do you have any previous or pre-existing injury or illness that may impact on your ability to perform the tasks and duties outlined in the job description?
14. Conflict of interest :
To ensure that the organisation can operate in an impartial manner, it is necessary for individuals to declare whether they have any potential conflicts of interest. This includes; secondary employment, involvement in other businesses that work in opposition, or provide services to the organisation, beneficial interests in a trust, family or close personal relationships with staff and/or clients.
On these grounds do you have any potential conflicts of interest?
15. Further Information:
If you have answered YES to any of the above medical, criminal or conflict of interest questions, please provide further detail otherwise write NA
You will be required as part of your induction into the organisation to undertake relevant training for the role. This may include on-the-job training and/or attendance at appropriate courses. These will be discussed in detail if you are successful in your application. Do you agree to commit to attend training as required?
Do you declare that all of the information provided is correct, complete and not misleading. Do you confirm that the information provided in this application and within your Cirriculum Vitae is correct, complete, truthful and accurate. You have omitted no facts that could affect your employment. Do you understand that any false misleading statements may result in your being disqualified from this application process, place any offer of employment and/or subsequent employment in jeopardy and may result in the termination of your employment?