Application Form (All fields are required)
1. Advertising Avenue :
Where did you see this position advertised?
2. General:
Why are you interested in working at Whakatane District Council and what makes you a good fit for our organisation?
3. General:
What areas of our organisation are you interested in working in?
4. General:
What type of employment are you interested in?
5. Work Status:
Are you legally entitled to work in New Zealand on an on-going basis?
6. Work Status:
If you are a Work Visa Holder, please provide us with the expiry date of your Visa below and ensure you include a copy of your work visa with your application.
If this is not applicable, please type N/A.
7. Drivers Licence:
Do you have a valid drivers' licence?
8. Drivers Licence:
Do you have any pending driving offences or loss of demerit points?
9. Drivers Licence:
If you answered 'Yes' above, please provide the details of any pending driving offences or loss of demerit points.
If you answered 'No' above, please type N/A.
10. Health:
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. mental health, hearing loss, sensitivity to chemicals, repetitive strain injuries, back injuries etc)
11. Health:
If you answered 'Yes' above, please provide details below.
If you answered 'No', please type N/A.
12. Pre-employment Testing:
If selected for this role, would you be prepared to undergo a pre-employment drug test and/or medical assessment?
13. Criminal Convictions:
Do you have any previous or pending criminal charges or convictions (including drink, drug or driving related convictions)?
14. Criminal Convictions:
If you answered 'Yes' above, please provide details below.
If you answered 'No', please type N/A.
15. Security Checks:
If selected for this role, do you consent to Whakatane District Council undertaking a Police Vetting and/or Criminal Records Check relevant to the type of work you will be doing?
16. Conflict of Interest:
Do you have a relative/close friend or household member currently employed by the Whakatane District Council?
17. Conflict of Interest:
If you answered 'Yes' above, please provide the name of the person and your relationship to them.
If you answered 'No', please type N/A.
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