Application for Employment Form

Thank you for your interest in employment with Te Kaahui o Rauru. Please complete this application form in full, incomplete applications will not be considered. Please also submit an up-to-date Curriculum Vitae and Cover Letter. You may submit this information electronically – All shortlisted applicants will be required to sign off on this application as well as bring along two forms of identification. Further correspondence will be via email.

Vacancy *

Closing date

Personal Details

Name *

Preferred name

Title

Address *

Phone *

Email *

Date of Birth *

Gender

Other name(s) by which you are/ have been known

Resident Status

Are you legally entitled to work permanently in NZ? *

If not permanently entitled, what is the term of your work permit?

Note: If you are shortlisted to attend an interview you will be required to provide evidence of your entitlement to work in NZ

Driver's Licence

Do you have a current NZ driver’s licence? *

Licence Number

Class of licence

Do you have any demerit points? *

If yes, please detail

Is there any matter pending that could affect your driver’s licence? *

If yes, please detail

Previous Convictions

Do you have any criminal convictions, and/or are you under investigation for any criminal matter including driving offences? *

You may not have to reveal certain convictions concealed by the Criminal Records (Clean Slate) Act 2004. If you are unsure please seek independent advice. You can also refer to www.justice.govt.nz for further information.

If yes please detail

Employment History

Please outline at least the past five years. You may include paid and unpaid work.

Dates Worked *

Employer/Activity *

Position Held *

Reason for Leaving *

Dates Worked

Employer/Activity

Position Held

Reason for Leaving

Dates Worked

Employer/Activity

Position Held

Reason for Leaving

Dates Worked

Employer/Activity

Position Held

Reason for Leaving

Are you currently employed by Te Kaahui o Rauru? *

If no, have you ever been employed by Te Kaahui o Rauru?

If yes, please provide dates and position/s held

Referees

Please name at least two people, including your current employer, from whom Te Kaahui o Rauru can request confidential references.

Name *

Position/Title *

Email *

Phone *

Relationship to you *

Name *

Position/Title *

Email *

Phone *

Relationship to you *

Name

Position/Title

Phone

Relationship to you

Name

Position/Title

Phone

Relationship to you

I consent to Te Kaahui o Rauru contacting the above referees *

Health & Safety Requirements

The following questions are to ensure Te Kaahui o Rauru can provide a safe working environment for our kaimahi.

Have you had your Covid -19 vaccination(s)? Or intend to be vaccinated? *

Have you had, or do you have, an injury, medical condition or disability – for example, hearing loss, sensitivity to chemicals, repetitive strain injury etc – that could: 1. Effect your ability to carry out the tasks & responsibilities of the position you are applying for; and/ or 2. Be aggravated or further contributed to by the tasks and responsibilities of the position you are applying for? *

If yes, please provide details

If you have answered YES to the above question, is there any specific services or facilities that we could provide to enable you to carry out the work duties safely?

If yes, please provide details

Are you working, or do you anticipate working, in a secondary job? *

If yes, please provide details

Equal Employment Opportunities Section

All applicants are encouraged to voluntarily provide the following information. Please note that this is for statistical purposes only.

Gender *

Ethnicity *

Hapuu (if applicable)

Iwi (if applicable)

Possible Start Date

If you were successful for this position, when is the earliest date you could start? *

Effectiveness of Advertising

Upload CV/cover letter

Declaration

I declare that the answers to the questions in this application are true and correct. Any false, misleading, or omitted material may disqualify me from appointment or if I am employed is grounds for dismissal.
I agree to such pre-employment checks as deemed necessary being undertaken by Te Kaahui o Rauru for the role I have applied for. I further understand that any subsequent offer of employment will be subject to satisfactory results being obtained from such pre-employment checks.
I understand that any offer of employment does not constitute an employment agreement until a separate agreement has been evidenced in writing and signed by Te Kaahui o Rauru and myself.
I am not aware of any personal circumstance, medical condition or disability that would limit my ability to adequately perform the role for which I seek appointment.
Privacy Act 1993 - I understand that the information requested is sought to establish my suitability for the position that I am applying for. If I am employed this information will be placed on my personnel file and will form part of my employment conditions. If I am not employed this information will be stored securely for the following 12 months at which point it will be destroyed. I can request the correction or amendment of this information by contacting Te Kaahui o Rauru.
By returning this application electronically it is acknowledged that I fully agree with the above declaration. Applicants invited to an interview will be required to physically sign this declaration.

By ticking this box you have deemed to have agreed to the Declaration above *

Job Application

Personal Details

Resident Status

Driver's Licence

Previous Convictions

Employment History

Referees

Health & Safety Requirements

Equal Employment Opportunities Section

Possible Start Date

Effectiveness of Advertising

Declaration

Takirau Marae

Physical Address

Wai-o-Turi Marae

Physical Address

Kaipoo Marae

Physical Address

Te Wairoa Iti Marae

Physical Address

Waipapa Marae

Physical Address

Whenuakura Marae

Physical Address

Te Ihupuku Marae

Physical Address

Taipakee Marae

Physical Address

Paakaraka Marae

Physical Address

Tauranga Ika Marae

Physical Address

Kai Iwi Marae

Physical Address

Te Aroha Marae

Physical Address