(All fields are required)
1. Advertising Avenue :
Where did you see this position advertised?
Please indicate the ethnic group you most identify with from the selection below. This information is gathered for statistical purposes only.
3. Internal Applicants:
Are you a current employee of the Whakatane District Council?
4. COVID-19 Vaccination Status:
Whakatāne District Council is committed to ensuring a safe and healthy work environment for its employees, contractors, consultants and volunteers and supports the Government’s COVID-19 suppression strategy which encourages all persons eligible to be vaccinated. To that end, all employees of Whakatāne District Council are required to be fully vaccinated against COVID-19 (i.e., against infections caused by SARS-CoV-2), and are required to have had their first vaccination and provide proof no later than 10 December 2021 and have had their second dose no later than 17 January 2022. What is your current vaccination status?
5. Work Status:
Are you legally entitled to work in New Zealand on an on-going basis?
6. Work Status:
If you hold a Work Visa, is it valid for you to work for the Whakatane District Council? If so, when does your Work Visa expire?
7. Previous Employment:
If you have previously worked for the Whakatane District Council, please list all of your former roles here.
8. Drivers Licence:
Do you have a valid full drivers' licence?
9. Drivers Licence:
If you hold a valid driver's licence, please list the classes you hold.
10. Drivers Licence:
Do you have any pending driving offences or loss of demerit points?
11. Drivers Licence:
If you answered yes above, please provide details of any pending driving offences or loss of demerit points
Have you had or do you currently have any injury or medical condition that may impact on your ability to carry out the duties of this position now or in the future? (Eg. hearing loss, sensitivity to chemicals, repetitive strain injuries, back injuries etc)
If you answered "Yes" to the Health question above, please provide details below:
14. Pre-employment Testing:
If selected for this role, would you be prepared to undergo a pre-employment drug test and/or medical assessment?
15. Criminal Convictions:
In accordance with the Clean Slate Act, do you have any previous or pending criminal, or other, charges or convictions (including drink, drug or driving related convictions)?
16. Criminal Convictions:
If you answered "Yes" to the Criminal Convictions question above, please provide details below:
17. Security Checks:
If selected for this role, do you consent to Whakatane District Council undertaking a Police Check relevant to the type of work you will be doing?
18. Conflict of Interest:
Do you have a relative/close friend or household member currently employed by Whakatane District Council, or in a situation that could cause a conflict of interest if you were appointed?
Do you consent to the Whakatane District Council seeking verbal or written information on a confidential basis about you from the referees listed in your CV or provided by you to us?
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