Application Form for Support Staff

Position Applied For(Required)

Personal Details

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Phone(Required)

Email(Required)

Ethnic Identification (Maori/NZ European/Other)(Required)

Gender(Required)

Female

Male

Are you a New Zealand citizen?(Required)

Yes

If not, do you have a resident status, or(Required)

Yes

A current work permit(Required)

Yes

Do you have a current New Zealand driver's license?(Required)

Yes

What is the expiry date of your work permit?(Required)

Have you had any injury or medical condition caused by gradual process, disease or infection as occupational overuse syndrome which the tasks of this position may aggravate or contribute to?(Required)

Yes

Please provide details(Required)

(EEO information confidential; to be used for statistical purposes only)

Qualifications and Experience

Qualifications(Required)

Qualification

Provider

Date Attained

Copies only of qualification certificates should be attached. If successful in your application you may be required to provide the originals as proof of qualifications.

EMPLOYMENT HISTORY

Please list your work experience for he last five years beginning with your most recent position. Please explain any gaps in employment. If you were self-employed, give details.

Previous Paid Employment Experience: List Employer, Position, Start and End Date(Required)

CONVICTIONS AGAINST THE LAW/UNSUITABILITY FOR POSITION

Applicants may not be employed as a children's worker if they have been convicted of a specified offence listed in Schedule 2 of the Vulnerable Children Act 2014, unless they obtain exemption. The Criminal Records (Clean Slate) Act 2004 will not apply to these specified offences and these offences will be included in your Police vetting results.

Have you ever been convicted of any offence against the law (apart from minor traffic convictions), or otherwise know of any reason why you should not be employed to work in the school environment?(Required)

Yes

If you answered "Yes", please provide the date and details of the offence, or other reasons, together with any comments you may wish to make.(Required)

Have you ever been the subject of any concerns involving child safety?(Required)

Yes

Please provide details(Required)

Please note you may be asked to provide a copy of the relevant Court record(s) obtainable from the Registrar of the Court concerned. Failure to provide correct and true details of any conviction will make you liable to dismissal from the employment of the Board of Trustees, should you be a successful applicant.

Referees

Please provide the names of three people who could act as referees for you. One of these should be your current or most recent employer. Please indicate which referee is your current/previous employer. If you have included written references from people other than those recorded below, please note that we may contact the writers of these references.

Referees(Required)

Name

Organisation

Position/Relationship

Phone Number

In addition to other information provided, are there any other factors that we should know to assess your suitability for appointment and your ability to do the job?(Required)

Yes

Please provide details(Required)

Applicant's Signature(Required)

Please attached your CV, and other relevant information.

Drop files here or

Max. file size: 512 MB.

Please note:

Shortlist applicants being interviewed will need to provide originals of both a primary identity document (e.g. passport) and a secondary identity document (e.g. New Zealand Driver License). A list of acceptable primary and secondary documents is available in the last sections of the Vulnerable Children Regulations 2015.
If you are selected for an interview you may bring whānau/support people at your own expense. Please advise if this is your intention.
This application form and supporting documents will be held by the board. You may access these in accordance with the provisions of the Privacy Act 1993. If you have any queries, please contact the person cited in the advertisement.

Application Form for Support Staff

Personal Details

Qualifications and Experience

Referees

Prospectus

Enrolment

Contact

Enrolment

Prospectus

Contact

Office Hours

Postal Address

Term Dates 2023