(All fields are required)
1. Advertising Media:
How did you first learn of this vacancy?
Are you legally entitled to work in New Zealand?
3. Employment History:
Present or most recent employer:
Please include Company Name, Address, Position, Dates of Employment and reason for leaving
Please describe the skills you hold which are relevant to the position applied for.
Do you hold any qualifications relevant to this position or to Council in general?
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.
If you answered yes above, please provide details. If you answered no, just write N/A
8. Drivers Licence:
Do you have a current valid drivers licence?
If you have previously worked for WDC please state when. If you haven't just write N/A.
Do you have any relatives, friends or members of your household already employed by WDC? If yes, please provide Name and Relationship below. If you answered no, just write N/A.
Have you any ongoing health problems that may affect your ability to carry out the work you have applied for?
If you answered yes above, how might WDC reasonably accommodate this health problem?
If you answered no, just write N/A
Give name, address and phone numbers of at least two referees (preferably from where you have worked most recently)
I give consent to WDC seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released by them to WDC for the purpose of ascertaining my suitability for the position applied for.
I understand that the information received by WDC is supplied in confidence as evaluation material and will not be disclosed to me.
15. Authority for pre-employment check:
In considering my application for employment I acknowledge WDC may wish to undertake enquiries to check/verify information about me & my suitability for employment. I authorise WDC to carry out such enquiries which may include but are not limited to proof of identity, right to work in NZ, education record, previous employment, verification of qualifications, professional status & standing, reference checks, criminal, traffic offences, credit record checks, police vetting, job-related health & physical capabilities, & drug & alcohol tests. I authorise former employers, educational institutions, credit reporting agencies, medical professionals, government agencies & law enforcement agencies to release information to WDC as part of these enquiries. In terms of the Privacy Act 1993 I have been informed by WDC of the purposes to which the information will be put, how it will be gathered & stored, who will have access to it, of my rights of access to the information & to request corrections.
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