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Application Form (All fields are required)

1. Advertising Avenue :
Where did you see this role advertised?

2. Residency:
Do you have unrestricted working rights in New Zealand (i.e are you a New Zealand or Australian Citizen or a Permanent Resident of New Zealand)?

3. Role :
Which planning position would appeal to you?

4. Role:
Which location would you prefer to work at?

5. Appeal:
Please outline why this position appeals to you.

6. Applicant Referral :
Was this position vacancy referred to you by an existing Council employee? If yes, please write the employee's name and position in the box below.

7. Experience:
How many years' resource consenting experience do you have?

8. Experience:
Do you have prior work experience in the Local Government sector?

9. Availability:
If your application is successful, when could you start work?

10. Drivers Licence:
Do you hold a current, clean drivers licence?

11. Drivers Licence:
If yes, what class of licence do you hold?

12. Drivers Licence:
Are you awaiting hearing of any charges for driving offences?

13. Work History:
Have you ever been dismissed or asked to resign from a job?

14. Criminal Convictions:
Have you ever been convicted of a criminal offence or are you awaiting charges in a criminal court of law? (This does not include convictions that are subject to the clean slate scheme of the Criminal Records (Clean Slate) Act 2004.)

15. Referees:
If you are interviewed you may be asked for details of at least two work related referees.

16. Health:
Having read the job description, do you have any injury/illness/disability or medical condition which could be aggravated by or prevent you from performing the full range of duties associated with the job you have applied for?

17. Health:
Are you on medication which could affect your performance in the job you have applied for?

18. Health:
How many days have you been absent from work in the last 12 months of employment as a result of sickness/injury?

19. Conditions of Engagement:
All inventions, patent rights or other processes developed or created by the applicant in Council time during the period of employment by the Council shall be the sole property of the Council.

20. Conditions of Engagement:
I agree to abide by all Council policies, protocols, regulations and safety rules.

21. Privacy Statement:
The information you provide on this application for employment form will be collected and held by Human Resources. This information is collected for the purpose of assessing your suitability for employment which may include subsequent changes in employment. We are unable to hold your application and CV longer than is required for the purposes for which the information may lawfully be used.

22. Declaration:
By returning this application electronically I confirm that to the best of my knowledge, the answers to the questions in this application are accurate and I understand that if any false information is given or any material fact suppressed on this application or on any health information forms, my application may not be accepted, or if I am employed, I may be dismissed.


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