Whangarei District Council -

Application Form (All fields are required)

1. Advertising Media:

How did you first learn of this vacancy?

Whangarei District Council Website

Seek

Whangarei Leader

Word of mouth

Social Media

Facebook

Other

2. Residency:

Are you legally entitled to work in New Zealand?

No

Yes - I am a New Zealand/Australian citizen

Yes - I am a holder of a current valid residence/work visa

3. Convictions:

Have you ever been charged with, or convicted of, a criminal offence (excluding minor traffic offences)? If yes, please provide the details below. If no, please say 'N/A'. 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.

4. Health:

Have you any ongoing health problems that may affect your ability to carry out the work you have applied for? If yes, how might WDC reasonably accommodate this? If not, please write N/A

5. Drivers Licence:

Do you have a current valid drivers licence?

No

Yes - Full Licence

Yes - Restricted Licence

Yes - Learners Licence

6. 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 - please click the 'i' for more information.

Yes, I agree

No, I don't agree