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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.

Personal Details

Resident Status

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

Previous Convictions

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 for further information.

Employment History

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


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


Health & Safety Requirements

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

Equal Employment Opportunities Section

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

Possible Start Date

Effectiveness of Advertising


  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.