You are applying for the position:

Chief Operating Officer | Richmond, New Zealand


Application Form (All fields are required)

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

2. Residency:
Which option best describes your current residency status?

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

4. 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.

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

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

7. 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.)

8. 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.

9. 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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