Application Form (All fields are required)
1. Advertising Avenue:
Where did you hear about this vacancy?
2. Preferred Name:
What is your preferred name?
3. Age Criteria:
Wil you be 16 years of age or more by 26 September 2026?
4. Location:
Which pool is your preferred location
5. Interviews will be held between 4th and 11 September, will you be available:
Interview Availability
6. Lifeguard Training:
Lifeguard training will be for two days are you available?
7. First Aid training :
Are you available for First Aid training
8. Assessment Day:
Are you available the following date 1st October 2026 for assessment
9. Lifeguard Shadowing:
Will you be available for Lifeguard shadowing (20 hours) between 2 October and 11 October 2026
10. Induction:
Will you be available for induction 7th and 8th November 2026
11. Previous Employment:
Have you ever worked for Selwyn District Council?
12. Connections or Conflicts of Interest:
Do you have any connections or potential conflicts of interest with Selwyn District Council or any of our employees? If yes, please provide details
13. Work Eligibility :
Do you have eligibility to work in New Zealand?
14. Work Eligibility - further information:
Which best describes your eligibility to work in New Zealand?
15. Availabilty for work:
Please indicate your availability
16. Swim Test:
Are you confident you will pass a Swim Test
17. Hourly Rate Expectation:
Please indicate your hourly rate expectation for this position
18. Medical - Pre-existing Conditions:
Do you have any injuries or medical conditions which might adversely affect your regular attendance at work, work performance or the safety of yourself or others?
19. Medical - Medication:
Are you on any medication which may adversely affect your performance in this role?
20. Medical - further information:
If you answered yes to either of the two medical questions above, please provide details below. If you have nothing to disclose, enter 'N/A'.
21. Criminal Convictions :
Have you ever been charged with or convicted of any criminal or civil offence, either in NZ or overseas, or do you have any charges pending?
22. Criminal Convictions - further information:
If you answered yes to the criminal conviction question above, please provide details below. If you have nothing to disclose, enter 'N/A'.
23. Pre-Employment Screening:
If required, do you agree to undergo pre-employment screening such as Ministry of Justice Checks, Police Vetting and Drug and Alcohol testing, at Selwyn District Councils expense?
24. Declaration:
I declare that the information I have provided is true and correct, and I have not omitted to disclose any information which might be relevant to Selwyn District Councils decision to employ me.
I understand if Selwyn District Council later discovers I have supplied any false information or has been misled in any way, including by omission, I will not be accepted for employment, or if I am already employed, my employment may be terminated.
Supplement Documents (Cover letter, etc.)
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