Online Job Application Form

This is an application for employment with the Ruapehu District Council. Should that application result in an employment arrangement it will form part of an Employment Agreement.

The application form is a source of information which will assist Council in considering your suitability for the position for which you are applying. If successful in obtaining employment, such information requested will form part of Council's personnel records.

Equal Opportunity - The Ruapehu District Council is an Equal Opportunity Employer. We hire, train and promote without regard to race, sex, colour, national or ethnic origin, sexual orientation, age, political opinion, employment status, disability, marital status or religious belief.

Please Note: If you are appointed to the advertised position, you will be required to certify that the information contained in this On-Line Application Form is correct.

Position applied for
Position
Where did you find out about this position?
Personal Information (A copy of your Birth Certificate may be required if employment is offered to you)
First Name
Surname
Address
Telephone
Mobile
Email
Citizenship
Are you a NZ citizen?	Yes No
If not, NZ Immigration Law requires you to answer the following questions:
Do you have the right of permanent residence in New Zealand?	Yes No
Do you have a work permit?	Yes No
Education and Qualifications (Details may be shown on attached CV)
List Institution attended, dates and qualifications obtained
Trade/Occupational qualifications obtained
Are you currently studying or planning to study for any qualification?	Yes No
If Yes, give details
Can you speak any languages other than English?	Yes No
If Yes, give details
Employment Record (details may be shown on attached CV)
List your current or most recent employer first. Include periods of employment, travel and full time study
Referees
Please try to name four people (including their contact details), at least two work related, who can provide a reference
Do you consent to Council seeking verbal or written information about you from representatives of your previous employers and/or referees and authorise the information sought to be released.	Yes No
Personal interests/hobbies
List your personal interests/hobbies
Health Issues (If necessary you may be required to attend a Doctor nominated by Council. Any costs incurred will be met by Council).
Do you have any health condition which may affect your ability to carry out the functions and responsibilities of the position applied for?	Yes No
If Yes, give details
Have you suffered any injury or illness that may affect your ability to carry out the physical requirements of the position applied for (eg, previous back injury, repetitive strain injury)?	Yes No
If Yes,give details
Council has a Smoke-Free Workplace Policy, which means there is no smoking on the premises. Would this be a problem for you?	Yes No
Driving Licence
Do you hold a current NZ Driving Licence?	Yes No
If Yes, number
Class(es)
Expiry date
No of demerit points
Has your Driver Licence been cancelled within the last five years?	Yes No
Is there any matter pending which could affect the status of your Driver Licence?	Yes No
General
Have you had any criminal convictions within the last five years?	Yes No
If Yes, give details
Are you currently awaiting the hearing of any criminal charge?	Yes No
Are you prepared to work overtime as and when required?	Yes No
Additional Information
Do you have any information which you consider may assist your application, eg, sporting achievements, interest and future aspirations? Please attach any additional information to this application.	Yes No
If Yes, give details
If your application is successful, when could you start work?
If this application is unsuccessful, may Council consider this application for other similar vacancies that may occur, where appropriate?	Yes No
Declaration
I authorise any vetting process that Council sees fit to exercise in considering this application. This process may include Employer references, or checking of criminal, financial or medical records	Yes No
I agree to co-operate in providing information to assist that vetting process	Yes No
I note that completion of this application does not oblige the Council to engage the applicant.	Yes No
I note that any offer does not constitute an employment agreement until a separate agreement has been evidenced in writing and signed by the Council and myself.	Yes No
I declare that the answers to the questions in the application are true and correct and understand that where a yes/no answer is left blank Council will assume the negative.	Yes No
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.	Yes No
I accept that, should my application be successful, the foregoing information will form part of my contract of employment and falsification of information is grounds for dismissal.	Yes No
Please Upload your CV
Please Upload your Covering Letter

Please Note: A correctly completed application will result in an acknowledgement message (in red) appearing above, acknowledging receipt of your application. If you are having any issues filling in this form, please click here to send an email to Jackie Mastrovich, Human Resources Manager.