Application for Relieving Employment - Other

To be completed personally by applicant

Please read this information carefully. It will help you complete your application and ensure you provide us with all the information we need to process your application. Applications must be submitted electronically using the link provided. Supporting material should be relevant to the position applied for and all material will be treated as confidential.

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* 1. Application for Employment
(Note: there is an additional space to include further notes at the end of this application if needed)

Position applied for:

Date of application:

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* 2. Contact Details - all fields must be completed please

First name and Surname

Are you known by any other names

Contact address

Phone

Email address

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* 3. If your application is successful, when could you commence employment?

Date (if able to start immediately please enter date of application)

Date

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* 4. Present and Most Recent Employer

Company:

Position held:

Dates of service (from and to):

Reason for leaving:

Name of Next Most Recent Employer:

Position held:

Dates of service: (from and to):

Reason for leaving:

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* 5. Are you currently employed as a reliever by any other organisation?

Yes

Which organisation are you employed as a reliever?

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* 6. Qualifications (School or Tertiary incl year attained)

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* 7. As we are part of the State Sector we must furnish annual EEO information to the Ministry of Education MOE. This information is purely statistical and individual names are not furnished. By providing this information you will not be disadvantaged in any way.

Male

Female

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* 8. Date of Birth:

Please complete:

Date

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* 9. For EEO Statistics only:
Please indicate from the MOE list below which ethnicity group you identify with:

Chinese

Cook Island Maori

Fijian

Indian

Niuean

NZ European

NZ Maori

Other Asian

Other European

Other Pacific Island

Samoan

South East Asian

Tongan

Other (please specify)

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* 10. Entitlement to Work
I confirm I am entitled under the Immigration Act 2009 to undertake work for the Waikato Kindergarten Association/Early Education Waikato.
Please tick the box that applies. (Note: You will need to provide evidence regarding your entitlement to work if approved for this position).

I am a New Zealand or Australian Citizen

I hold a New Zealand residence permit

I hold a work permit with conditions permitting this employment

I hold a visitor or student permit with conditions permitting this employment

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* 11. Have you lived in any other country for more than twelve (12) months in the last ten (10) years?

Yes

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* 1. Application for Employment (Note: there is an additional space to include further notes at the end of this application if needed)

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* 2. Contact Details - all fields must be completed please

Question Title

* 3. If your application is successful, when could you commence employment?

Question Title

* 4. Present and Most Recent Employer

Question Title

* 5. Are you currently employed as a reliever by any other organisation?

Question Title

* 6. Qualifications (School or Tertiary incl year attained)

Question Title

* 7. As we are part of the State Sector we must furnish annual EEO information to the Ministry of Education MOE. This information is purely statistical and individual names are not furnished. By providing this information you will not be disadvantaged in any way.

Question Title

* 8. Date of Birth:

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* 9. For EEO Statistics only:Please indicate from the MOE list below which ethnicity group you identify with:

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* 11. Have you lived in any other country for more than twelve (12) months in the last ten (10) years?

* 1. Application for Employment
(Note: there is an additional space to include further notes at the end of this application if needed)

* 9. For EEO Statistics only:
Please indicate from the MOE list below which ethnicity group you identify with: