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You are applying for the position:

Application Form (All fields are required)

1. Advertising Media:
How did you first learn of this vacancy?

2. Knowledge, skills, and experience:
Provide detail of your experience in key areas such as risk management, health and safety, internal and external audit, and financial reporting or accounting.

3. Governance experience :
Provide detail of any governance experience within local government or public sector organisations.

4. Professional integrity :
Provide detail on the level or professional integrity you would bring to the role.

5. Qualifications :
Provide detail of any relevant qualifications.

6. Residence:
Do you reside in the Whangarei District? If not, which District do you reside in?

7. Convictions:
Have you ever been charged with, or convicted of, a criminal offence (excluding minor traffic offences)? Please be aware that you are not obliged to declare certain offences which occurred more than 7 years ago under the Criminal Records Clean Slate Act 2004. If you have any doubts, please seek legal advice before completing this question.

8. Convictions:
If you answered yes above, please provide details. If you answered no, just write N/A

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