Please fill out this application and submit if you are a Support Worker with at least a Level 4 Certificate in NZ Mental Health & Wellbeing.
FORMAL APPLICATION FOR EMPLOYMENT FORM
This information is collected for the purpose of assessing your suitability for employment at
, which may include subsequent changes in employment with the Company.
The completion of this form does not indicate that there is any obligation on the Company to engage the applicant.
Information relating to unsuccessful applicants may be retained by the Company for a period of up to 12 months.
If successful, such information shall form part of the Company’s personnel records.
You are entitled to access this information upon request to the Company.
This note is provided in accordance with the Privacy Act 1993.
POSITION APPLIED FOR*:
INDUSTRY WORK EXPERIENCE*
What experience do you have within our industry?
What language can you speak other than English?
CURRENT EMPLOYMENT (List current Employers)
CONTINUED EMPLOYMENT (List Employersyou intend continuing to work for)
List Employer(s) you intend to continue to work for and the position you will hold in the company.
PREVIOUS EMPLOYMENT (List previous Employers)
REFEREES (Provide at least two referees preferably from where you have worked)