(All fields are required)
1. Advertising Avenue:
Where did you see this position advertised?
Which best describes your residency status
3. Age Bracket:
What is your date of birth?
Why does this position appeal to you?
5. Salary Expectations:
Please indicate your expected salary range?
Which of the below qualifications do you hold?
How many years experience do you have in a similar role?
Have you previously worked in the local government sector?
Which of the below areas do you have experience in?
What do you consider to be the 4 most important values in a workplace?
11. Interests or Community activities:
What are your main out of work interests?
12. Drivers Licence:
Do you hold a current, clean drivers licence?
Are you prepared to work overtime?
14. Criminal Convictions:
Are you awaiting the hearing of charges in a civil or criminal court of law?
15. Criminal Convictions:
Do you have any civil or criminal convictions, not including any concealed under the Criminal Records (Clean Slate) Act?
16. Employment History:
Please provide details of where you currently work, what the role is and why you are considering leaving.
17. Employment History:
Please provide details of any other employment (prior to your current employer) in the past 10 years and give reasons for leaving.
18. Employment History:
Have you ever brought a personal grievance against a previous employer?
19. Employment History:
Have you ever been through disciplinary action that resulted in a termination?
If you are offered employment, the offer is made subject to your obtaining a full medical clearance for the position following the completion of our pre-employment medical. Do you agree to undergo a medical examination if required?
Do you have any health related issues (including stress) that may impact on your ability to perform the tasks listed in the position statement for the job that you are applying for?
Have you had an injury or medical condition caused by gradual process, disease or infection that may be aggravated or further contributed to by the tasks of this job?
For the purposes of compliance with the Privacy Act 1993, do you consent to the Council contacting your current employer for the purpose of reference checking?
Give the name, address, email contact details and telephone numbers of at least two referees, preferably from where you have worked within the last five years.
These referees may be contacted by Council for valuative purposes.
I declare that to the best of my knowledge the answers in this application are correct and I understand that if any false or deliberately misleading information is given, or any material fact suppressed which would affect my suitability for employment, I will not be employed, or if I have already been employed when the employer discovers the inaccuracy my employment will be terminated. I also understand that any false information given in relation to my medical history could result in my loss of entitlement for any compensation from ACC.