Turanga Waatea | Application Form
Thank you for your interest in employment with Te Kaahui o Rauru. Please complete this application form in its entirety. Incomplete applications will not be considered. Please also attach an up-to-date resume and cover letter.
Vacancy
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Closing Date
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Day
-
Month
Year
Date
Title
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Please Select
Mr
Miss
Mrs
Ms
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Other name(s) by which you are/have been known?
Residential Status
Are you legally entitled to work in New Zealand?
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Yes
No
If not permanently entitled, what is the term of your work permit?
Driver's Licence
Do you have a current NZ driver's licence?
*
Yes
No
Licence Number
Class of license
*
Please Select
Learner
Restricted
Full
Do you have any demerit points?
*
Yes
No
If yes, please detail
Is there any matter pending that could affect your driver's licence?
*
Yes
No
If yes, please detail
Previous Convictions
Do you have any criminal convictions, and/or are under investigation for any criminal matter including driving offences?
*
Yes
No
If yes, please detail
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Employment History
Please outline at least the past five years. You may include paid and unpaid work.
Employer/Activity
*
Dates worked
*
Position held
*
Reason for leaving
*
Employer/Activity
*
Dates worked
*
Position held
*
Reason for leaving
Employer/Activity
Dates worked
Position held
Reason for leaving
Are you currently employed by Te Kaahui o Rauru?
*
Yes
No
If no, have you ever been employed by Te Kaahui o Rauru?
*
Yes
No
If yes, please provide dates and positions held
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References
Please name at least three people, including your current employer from whom Te Kaahui o Rauru can request confidential references. Please complete in full.
1. Name
*
First Name
Last Name
Position/Title
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Relationship to you
*
2. Name
*
First Name
Last Name
Position/Title
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Relationship to you
*
3. Name
*
First Name
Last Name
Position/Title
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Relationship to you
*
I consent to Te Kaahui o Rauru contacting the referees listed above to gather information about my suitability for the role I am applying for. I understand this information will be provided in confidence and will not be disclosed to me.
Yes
If you were successful for this role, what is the earliest date you could start?
*
Health and Safety Requirements
The following questions are to ensure Te Kaahui o Rauru can provide a safe working environment for our kaimahi.
Do you have any injury, medical condition, or disability that may affect your ability to carry out the key responsibilities of the role you are applying for, or that may be aggravated by those responsibilities?
*
Yes
No
If yes, please provide details
If you have answered yes to the above question, is there any specific services or facilities that we could provide to enable you to carry out the work duties safely?
Are you working or anticipate working in a secondary job?
*
Yes
No
If yes, please provide details
Equal Employment Opportunitites
All applicants are encouraged to voluntarily provide the following information. Please note that this is for statistical purposes only.
Gender
Please Select
Male
Female
Non-binary
Prefer not to say
Ethnicity?
Hapuu (if applicable)
Iwi (if applicable)
How did you hear about this vacancy?
Te Kaahui o Rauru Social website
Facebook
Instagram
Word of mouth
Other
DECLARATION:
I declare that the answers to the questions in this application are true and correct. Any false, misleading, or omitted material may disqualify me from appointment or if I am employed is grounds for dismissal.
I agree to such pre-employment checks as deemed necessary being undertaken by Te Kaahui o Rauru for the role I have applied for. I further understand that any subsequent offer of employment will be subject to satisfactory results being obtained from such pre-employment checks.
I understand that any offer of employment does not constitute an employment agreement until a separate agreement has been evidenced in writing and signed by Te Kaahui o Rauru and myself.
I am not aware of any personal circumstance, medical condition or disability that would limit my ability to adequately perform the role for which I seek appointment.
Privacy Act 2020 - I understand that the information requested is sought to establish my suitability for the position that I am applying for. If I am employed this information will be placed on my personnel file and will form part of my employment conditions. If I am not employed this information will be stored securely for the following 12 months at which point it will be destroyed. I can request the correction or amendment of this information by contacting Te Kaahui o Rauru.
By returning this application electronically it is acknowledged that I fully agree with the above declaration. Applicants invited to an interview will be required to physically sign this declaration.
Signature
*
Date
*
-
Day
-
Month
Year
Date
Please upload your cover letter, CV and any other supporting documents
*
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