Whakatane District Council -

Application Form (All fields are required)

1. Residency:

Are you currently legally entitled to work in New Zealand?

Yes

No

2. Residency:

Please indicate your current residency status

I am a N.Z. Citizen

I am a permanent resident of NZ with work experience in NZ

I am a permanent resident of NZ but have no work experience in NZ

I am on a Work / Temporary Visa

I am on a Spousal Visa

I currently reside overseas

Other

3. Advertising Avenue:

Where did you hear about this position?

Seek

TradeMe

Word of Mouth

Social Media

http://healthscopecareers.co.nz

Indeed

Other

4. Health and Safety:

Have you completed a Health and Safety course?

Yes

No

5. Availability:

Please indicate when you are available to start if you were successful?

Immediately

1 - 2 weeks

2 - 4 weeks

4 weeks +

6. Clean Drivers Licience:

Do you hold a clean, full NZ Drivers' Licence?

Yes

No

7. Salary Expectations::

Please indicate what salary you are looking for?

Less than $35k

$35k - $40k

$41k - $45k

$46k - $50k

$51k - $55k

$56k - $60k

$61k - $65k

$66k+

8. Appeal:

Please outline why this position appeals to you

9. Licences:

What driving licences do you hold?

Class 2

Class 3

Class 4

Class 5

Dangerous Goods

Fork hoist

10. Criminal Convictions:

Do you have any criminal convictions not covered by the NZ Clean Slate Act?

11. Availability:

What days you are available to work?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Applying with us is very easy