Application Form

  • Application Form - Youth Mentor

    MacStrong Mentors is committed to being an equal opportunity employer and to ensure that all workers and other people we deal with are treated fairly and are not subjected to unfair or unlawful discrimination. We welcome applications from all sectors of the community.

  • Personal Details

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  • Are you currently undertaking study/training?*

  • Proof of Identity and Right to Work

  • Are you a New Zealand Citizen?*
  • If not, do you have resident status?*
  • Do you have a current work permit?*

  • Police Vetting

    MacStrong Mentors has adopted a policy whereby only persons who have undertaken a New Zealand police vet with acceptable results can be selected to work with or for the company.
  • Do you consent to Police Vetting check?*
  • Have you ever had a criminal conviction in New Zealand? (Convictions that fall under the clean slate scheme do not have to be disclosed)*
  • Have you ever had a criminal conviction in another country?*

  • Fitness To Undertake Work

    The following information is required to assist MacStrong Mentors to meet its obligations under the Health and Safety at Work Act 2015 and to assess your ability to perform the duties of the position safely and to ensure you are not in a position where you could be placed in a situation of harm.
  • Do you have any medical condition(s) (including impairment) or injury that may affect your ability to effectively carry out the functions and tasks of the position applied for?*

  • Transport

  • Do you have a current full drivers licence?*
  • ! Application Requirement

    MacStrong requires you to hold a current Full Driver Licence, as you will be transporting young people as part of this role.

    Once you have your Full Licence, please come back and re-apply.

  • Do you have you own reliable vehicle?*
  • Do you have any current or pending endorsements?*
  • Do you have any current or pending demerit points or driver restrictions? (Including convicted traffic offences)?*

  • Working with Children

  • Has there ever been any cause for concern regarding your conduct with children and young people?*
  • To the best of your knowledge have you ever had an allegation made against you which has been reported to,and investigated by Oranga Tamariki?*

  • Declaration

    I declare that, to the best of my knowledge, the information given is true and correct. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of service with MacStrong Mentors. I understand that this application does not constitute an offer of service. I understand that police and other checks will be required as detailed in this application.

  • By signing, typing your name or pasting an image of your signature you acknowledge that you have read and understood the content of this document and you are intentional signing this form.

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