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Applying with us is very easy

Simply complete your personal details below, then answer our questionnaire which is specific to this vacancy. Your answers to the questionnaire will enable us to process your application faster. At the very bottom of this page please upload your resume and a covering letter or supporting documents if relevant. We accept files in PDF, .doc or .docx formats, under 2MB

You are applying for the position:

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You are applying for the position:



Application Form

(All fields are required)

1. Advertising Avenue:
Where did you see this role advertised?

2. Residency:
Do you have the legal right to work in New Zealand?

3. Residency:
If you are not a NZ resident, do you have a NZ work permit?

4. 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?

5. 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. If you answered 'No' please put N/A.

6. 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?

7. Driver’s Licence:
Please describe your driver license status

8. Court Convictions:
Have you ever been convicted in a court in New Zealand or any other country?

9. Court Convictions:
Are there any charges against you yet to be heard?

10. Court Convictions:
If you have answered 'Yes' to either of the previous two questions, please provide brief details below. If you answered 'No' please enter N/A.

11. Other:
Are there any other issues, such as disciplinary or dismissal matters you should declare to us in order for us to be fully informed when making the selection decision.

12. 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).

13. Work Referees:
Can the above referees be contacted for reference checking purposes and be authorised to disclose such information that may be required.

14. 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.


File size limit: 4 MB

(cover letter, selection criteria etc) File size limit: 4 MB


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