Application Form
(All fields are required)
1. Advertising Avenue:
Where did you hear about this position?
2. Residency:
Which best describes your Residency Status?
3. Health Declaration:
Do you have any health problems, medical conditions or injuries which would affect your ability to perform the functions of the position as stated in the Position Description?
4. Health Declaration:
If you answered yes to the Health Question please explain briefly. You may be asked to expand on this information if chosen for an interview. If no, please enter N/A.
5. Criminal History:
Do you have any criminal convictions not including any concealed under the Criminal Records (Clean Slate) Act 2004 or are you awaiting charges in a criminal court of law? You may be asked to complete a NZ Police criminal history check as part of the recruitment process.
6. Criminal History:
If you answered yes to the Criminal History Question (No 4) please explain briefly. You may be asked to expand on this information if chosen for an interview.
If No, please enter N/A.
7. VCA check:
Do you consent to a Vulnerable Children's Act Police check being undertaken should the advertised position warrant it?
8. Credit check:
Do you consent to a credit check on you being undertaken should the advertised position warrant it?
9. Employment History:
Have you ever been dismissed or asked to resign from a job?
10. Work Experience :
What relevant work experience do you have that will make you successful in this role?
11. Local Government Experience:
Do you have prior experience working for Local Government?
12. All applicants:
Have you ever been employed by Whanganui District Council?
13. Internal applicants:
Are you currently employed at WDC?
14. Qualifications :
What is your highest relevant academic qualification?
15. Qualifications:
Have you attached copies of your qualifications with your application?
16. Reasons for Leaving Current/Last Employment:
Please explain your reasons for leaving your current employment, or if you are unemployed why you left your last job.
17. Drivers Licence:
Do you hold a current full NZ Drivers licence without restrictions?
18. Industry recognised memberships and registrations:
Do you have any industry recognised memberships or registrations? If so, please detail these below and upload copies of them with your application.
19. Civil Defence:
You need to be aware, that if you are employed by Whanganui District Council, there is a requirement to participate in Civil Defence Emergencies. You will also be expected to attend Civil Defence Training as part of your induction - Please refer to the "Emergency Management" section in the Position Description for further information.
20. Civil Defence:
Assisting in Civil Defence Emergencies may require you to be available outside of normal business hours. Are you willing to participate should a Civil Defence event occur?
21. Referees:
Please provide contact details for at least two current referees.
22. Referees:
I give permission for the referees given to be contacted on my behalf in support of my application.
23. Declaration :
I declare that to the best of my knowledge the answers to the questions asked here and all information submitted with my application are correct. I understand that if any false information is given, or any material facts suppressed, I may not be employed, or if I am employed, I may be dismissed.
