(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 why working for the Council, in this role, appeals to you?
Please state your qualifications relevant to the role.
How many years experience have you had in a similar role?
6. Current Employment:
Are you currently employed by Napier City Council?
Do you currently have, or have you ever had, a medical condition or back injury caused by gradual process, injury, illness or disability that could reasonably be expected to affect your ability to carry out the duties and tasks required in the job you have applied for; or which could reasonably be expected to be aggravated or contributed to by the work of the position of the position you are applying for?
Please answer Yes or No and provide details if answering with Yes.
8. Medical :
Do you have any known allergy/sensitivity to any substance?
9. 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 will include Drug and Alcohol testing, and to the results being communicated to the Council (on a confidential basis)?
10. Safety equipment and clothing:
Are you prepared to wear and use any safety equipment and clothing that may be required?
11. Criminal Offence:
Have you ever been convicted of any offence against the law or have you any criminal charges pending or under investigation? Under the "Clean Slate" Legislation you may be entitled to answer "No" to this 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.
12. Criminal Offence:
If you have answered yes to the above, then please give brief details below, otherwise write NA.
13. Referee check consent:
Do you give Napier City Council authorisation to contact the referees you provide?
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.