(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?
4. Privacy Statement:
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 consent to my information being held by the Napier City Council for the purpose of potential employment in this role or similar opportunities within the business. 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.
Do you have a current full drivers licence?
6. Safety equipment and clothing:
Are you prepared to wear and use any safety equipment and clothing that may be required?
7. #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).
8. #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)
9. #3 Medical :
Do you have any known allergy/sensitivity to any substance?
10. #4 Medical:
If you have answered yes to any of the medical questions, then please give brief details.
11. Medical Testing Consent:
If offered this position, you may be requested to undergo a basic medical assessment and/or tests, at Councils expense, to assess your capacity to safely carry out the tasks required in the job. This may include, but not limited to eye tests, hearing tests.
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)?
12. #1 Criminal Convictions:
Have you ever had a custodial (eg imprisonment, corrective training, borstal) sentence for a criminal offence?
13. #3 Criminal Convictions:
If you have answered yes to any Criminal Conviction questions, then please give brief details.
14. 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
CV Upload *
Or LinkedIn Profile
Supplement Documents (Cover letter, etc.)
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