Applying with us is very easy

Simply complete your personal details below, then answer our questionnaire which is specific to this vacancy. Your answers to the questionnaire will enable us to process your application faster. At the very bottom of this page please upload your resume and a covering letter or supporting documents if relevant. We accept files in PDF, .doc or .docx formats, under 2MB


You are applying for the position:

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You are applying for the position:



Application Form

(All fields are required)

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

2. Residency:
Which best describes your residency status

3. Age Bracket:
What is your date of birth?

4. Appeal:
Why does this position appeal to you?

5. Education:
Provide details of your highest qualification in secondary school education.

6. Education:
Are you currently studying towards a Tertiary Qualification? If yes please provide details.

7. Experience:
Have you previously worked for Hauraki District Council?

8. Experience:
Which of the below areas do you have experience in?

9. Values:
What attributes do you have that would reflect Hauraki District Council's values?

10. Knowledge and Skills:
Describe the skills you hold which are relevant to this position.

11. Interests or Community activities:
What are your main out of work interests?

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

13. Availability:
Please specify whether there is any time between end of November and mid March including weekends that you could not be available to work. Include what date you would be available to start and the last date you would you be available to work.

14. Criminal Convictions:
Do you have any civil or criminal convictions, not including any concealed under the Criminal Records (Clean Slate) Act?

15. Criminal Convictions:
Are you awaiting the hearing of charges in a civil or criminal court of law?

16. Consent for Police Vet Check:
Do you consent to Hauraki District Council undertaking a Criminal Conviction History or Police Vet check?

17. Employment History:
Please provide details of your employment history. Include where and what the role is and why you left or are considering leaving. If you are a student or not currently employed this may not apply. If there are any periods you are not in employment, education or training please explain.

18. Employment History:
Have you ever been through disciplinary action that resulted in a termination or raised a Personal Grievance against your Employer?

19. Health:
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?

20. Health:
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?

21. Health:
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?

22. Referees:
If aged under 18, I authorise Hauraki District Council to conduct such reference checking as deemed appropriate, such as with my school Principal. Failure to give consent in reference checking will result in the application being declined.

23. Referees:
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.

24. Disclosure:
Are there any disclosures that you should make that are relevant to this role?

25. Declaration:
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.


File size limit: 4 MB

(cover letter, selection criteria etc) File size limit: 4 MB


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