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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 Resident of New Zealand)?

3. Study:
What tertiary qualification are you currently studying towards?

4. Experience:
How many years' of tertiary study will you have completed as at November 2022?

5. Position preference:
Which of our summer student positions would you like to be considered for? (Select as many answers that are applicable)

6. Location:
Are you from the Nelson/Tasman region?

7. Staff Connection:
Are you a family member of an existing Tasman District Council employee? If yes, please write the employee's name and your relationship to them below.

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

9. Availability:
Are you available to work from your start date in November (as indicated in question above) through until 12th February 2023 inclusive?

10. Availability:
Are you available to work throughout the entire holiday employment period? (some positions require students to work on public holidays/weekends)

11. Drivers Licence:
Do you hold a current, clean and full drivers licence for a manual vehicle?

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

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

14. 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?

15. Covid 19 Vaccination Status :
Council preference is to employ those who are fully vaccinated. Are you fully vaccinated for Covid 19?

16. 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.)

17. Referees:
You will need to give us details of at least two referees who may be contacted for a confidential reference.

18. 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.

19. 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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