Application Form
(All fields are required)
1. Advertising Avenue:
Where did you see this role advertised?
2. Experience:
If yes list the systems and describe your involvement with them. When you had to learn a new system how would you go about it?
3. Legal work status:
Are you legally entitled to work in NZ in this job
4. Health and Safety:
Please confirm that you do not take any illicit drugs and that your system is free from the effects of drugs and alcohol
5. Experience:
Have you had any experience with Electronic Document Management Systems?
6. Experience:
If you answered 'yes' to the above question, please list the systems and describe your involvement with them below.
7. Experience:
When you had to learn a new system how would you go about it? Please describe below.
8. Experience:
Have you had any experience with developing or maintaining information Management Guidance resources and processes?
9. Experience:
If you answered yes to the above question, please describe the extent of your involvement below.
10. Experience:
What challenges do you think Information Management faces in todays digital environment example Cloud based applications? Please outline these below.
11. Experience:
Have you had any experience with retention and disposal of Records?
12. Experience:
If you answered 'yes' to the above question, please describe these below.
13. Driver’s Licence:
Please describe your driver license status
14. Declaration of injury/or pre-existing condition that may affect you in this role.:
Do you suffer from any illness, injury or other disability which may adversely affect your work performance, regular attendance at work, personal safety of yourself or others?
15. Declaration of injury/or pre-existing condition that may affect you in this role.:
If you have answered Yes to the above question, provide details.
16. Declaration of injury/or pre-existing condition that may affect you in this role.:
Should your application be successful, would you agree to attend a Registered Health Professional nominated by the South Taranaki District Council as and when required and also undergo a drug and alcohol pre-employment test?
17. Court Convictions:
Have you ever been convicted in a court in New Zealand or any other country?
18. Court Convictions:
Are there any charges against you yet to be heard?
19. Court Convictions:
If you have answered Yes to either of the previous two questions, please provide brief details:
20. Financial:
Have you entered into bankruptcy or any material accommodation with creditors?
21. Financial:
If you have answered Yes to the above questions, please give details.
22. Other:
Are there any other issues, such as disciplinary or dismissal matters, which you should declare to us in order for us to be fully informed when making the selection decision.
23. Information:
If you answered yes or unsure above, please describe the detail for us.
24. Work Referees:
Please nominate two people able to comment on your ability to perform the duties of the position applied for. These must be previous Supervisors or Managers(Please provide: Name, Address, Phone and Relationship to applicant).
25. Work Referees:
Can the above referees be contacted for reference checking purposes and be authorised to disclose such information that may be required.
26. Declaration:
I declare that the information provided in this application and CV, is correct. I understand that falsification; deliberately misleading; or, suppression of information, will be grounds for instant dismissal.
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