(All fields are required)
1. Advertising Avenue:
Where did you hear about this position?
Which best describes your residency status?
Please write a short statement which why this role appeals to you?
Please tell us what experience you have had with skating / BMX / scooters etc.
Do you have any previous experience in dealing with the public?
Outline your ability and experience in relating to people at all levels.
7. Current Employment:
Are you currently employed by Napier City Council?
Do you have any relatives or know anyone that currently works at Napier City Council? If so please list who they are and how you know them. (Your response to this question may be necessary to prevent conflicts of interest).
9. Safety equipment and clothing:
Are you prepared to wear and use any safety equipment and clothing that may be required?
10. #1 Medical:
Do you suffer from any condition which may affect your capacity to safely and effectively carry out the duties and tasks required in the job you have applied for? (This may include a chronic medical condition, medication, back injury or back strain etc).
11. #2 Medical :
Have you ever suffered from any gradual or overuse injuries, which might be aggravated by the requirements of this job? (eg, RSI, OOS, (Occupational Overuse Syndrome), including tendonitis, carpel tunnel syndrome, tennis elbow, etc…)
12. #3 Medical :
Do you have any known allergy/sensitivity to any substance?
13. #4 Medical:
If you have answered yes to any of the medical questions, then please give brief details.
14. Medical Testing Consent:
If offered this position, you may be requested to undergo a basic medical assessment and/or tests, at Council’s expense, to assess your capacity to safely carry out the tasks required in the job. This may include eye tests, hearing tests, etc…
Would you consent to a medical assessment, which may include Drug and Alcohol testing, and to the results being communicated to the Council (on a confidential basis)?
15. #1 Criminal Convictions:
Have you ever had a custodial (eg imprisonment, corrective training, borstal) sentence for a criminal offence?*
16. #2 Criminal Convictions:
Under the "Clean Slate" Legislation you may be entitled to answer "No" to the following question, even if you have criminal convictions. It is your obligation to determine if you meet the criteria of the "Clean Slate" Legislation. Refer to the Department of Justice or their website for further information.
Have you ever been convicted of a criminal offence?*
17. #3 Criminal Convictions:
If you have answered yes to any Criminal Conviction questions, then please give brief details.
18. Criminal Convictions Declaration.:
If you have answered yes to any of the above questions, further information will be requested at interview. Please be aware that failure to disclose or declare information, or provision of false or misleading information may result in your employment being terminated if your application is successful. Part of the recruitment process is seeking a copy of your criminal record from the Ministry of Justice, regardless of whether you have declared convictions or not.
I have read and understood the above Criminal Convictions declaration
I declare that to the best of my knowledge the information supplied in this on-line application process and in any resume (CV) provided is correct. I understand that if any false or deliberately misleading information is given, or any material fact suppressed, I will not be accepted, or if I am employed, my employment may be terminated. I further understand that any offer of employment, if made, may be conditional on obtaining a full clearance through the Company's pre-employment background checking process.
I have read and agree to the above declaration.