(All fields are required)
1. Advertising Avenue:
Where did you hear about this position?
Which best describes your residency status?
3. Employment :
Are you currently or have you previously been employed by Napier City Council?
Please write a short statement telling us why working at Napier City Council in this role appeals to you.
Please describe your experience working in a similar role.
What qualifications do you hold relevant to this role?
7. Conflict of Interest Question:
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).
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 work of the position applied for; or which could reasonably be expected to be aggravated or contributed to by the work of the position you are applying for?
Please answer Yes or No and provide details if answering with Yes.
Are you taking any medication that may affect your ability to work safely? If yes please provide details. It is important to note that you may be required to undergo a pre-employment drug test and some medications can impact the result.
10. Medical Testing Consent:
If offered this position, you may be requested to undergo a basic medical assessment and tests (at Council's expense) to assess your capacity to safely carry out the tasks required in the job. The results will be made available to the Napier City Council (on a confidential basis).
Would you consent to a medical assessment?
11. Safety equipment and clothing:
Are you prepared to wear and use any safety equipment and clothing that may be required?
12. Criminal Offence:
Have you ever had a custodial (eg imprisonment, corrective training, borstal) sentence for a criminal offence?
13. 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.
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.
14. Criminal Offence:
If you have answered yes to the above, then please give brief details below, otherwise write NA.
I declare that to the best of my knowledge the information supplied in this application process, including any covering letter, CV and qualifications 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 checking process.
I have read and agree to the above declaration.