(All fields are required)
1. Advertising Avenue:
Where did you hear about this job vacancy?
2. Residency Status:
Which best describes your residency status?
3. Application Criteria:
Please note that all CV's submitted must contain at least the following information;
1) The last five years of employment including place of work, job title and description of duties undertaken in the role.
2) Two work related referees including someone from your current workplace (no referees will be contacted until permission is granted at interview stage).
Have you ever been known by any other name/s? If so, please state them below. If you have nothing to disclose enter 'N/A'.
5. Work Eligibility:
If you are on a visa, please provide details and conditions. If you have nothing to disclose, enter 'N/A'.
6. Medical Declaration:
Do you have any medical conditions which may affect your ability to effectively carry out the functions and responsibilities of employment, or which may be aggravated or further contributed to by the functions and responsibilities of employment?
Are you on any medication which may affect your performance in the position you have applied for?
If you answered 'Yes' to the medication question above, please provide relevant details here. If you have nothing to disclose, enter 'N/A'.
9. Drivers Licence:
Do you have a current clean Class 1 (Car) New Zealand driver licence?
10. Previous Employment:
Have you ever been subject to an investigation including dishonesty by a previous employer? Or, been dismissed from any previous employment?
11. Previous Employment:
If you answered 'Yes' to the question above, please provide relevant details here. If you have nothing to disclose, enter 'N/A'.
12. Security Clearance:
Have you ever been convicted of any criminal offence (not covered by the Criminal Records 'Clean Slate' Act 2004), or are you awaiting the hearing of charges relating to any such criminal conviction?
13. Security Clearance:
If you answered 'Yes' to the Security Clearance question above, please provide relevant details here. If you have nothing to disclose, enter 'N/A'.
14. Previous Employment:
Have you ever worked for Selwyn District Council?
15. Safety Check:
Please note that if the role you are applying for is classified as a Children's Worker under the Vulnerable Children Act, a safety check process (including requiring your permission for a police vet) will be undertaken.
I declare that the answers to the questions in the application are true and correct and I understand that the information requested within this application form is sought to establish my suitability for the position that I am applying and that if I do not provide such information then this application for employment may be rejected.