ࡱ> z|yU &5bjbjnn 7<aaUkBBBBBVVV8,DVHb n$O!uBvHHvvBB4}ZZZv^BBZvZZZZ0Z!!Z!BZtZvvv@vvvvvvv!vvvvvvvvvB :  Application Form Leadership Application for employment as: Surname: First name: ____________________ Mr/Mrs/Miss/Ms/Dr Other names: Postal address: Telephone number: Date of birth: Work number (daytime): E-Mail: Cell Phone: Are you NZ citizen or permanent resident*? o Yes o No If not, do you hold a current New Zealand work permit*? o Yes o No *If not NZ citizen, please provide a copy of current visa/permit. 1. Education and training Tertiary qualifications/name of tertiary institutions*: Dates: (from) (to) *Please provide a copy of your tertiary qualifications Any other training/courses Dates: (from) (to) (Leadership Application cont.) 2 Employment history (starting with your present or most recent position) (i) Present Employer Name: Address: Position: Salary: Other benefits: Duties: Employed from: May we approach this employer for a reference? ( Yes ( No Unless you request as follows, no approach will be made to your present employer before an offer of employment is made, in which case the offer may be conditional upon receipt of a satisfactory reference from your present employer. o I do not want my present employer to be approached unless and until I am offered, subject to a satisfactory reference, the job for which I am applying. o You may approach my present employer for a reference at any time. (ii) Previous employers Name: Address: Position: Salary: Other benefits: Duties: Employed from: to: May we approach this employer for a reference? ( Yes ( No Name: Address: Position: Salary: Other benefits: (Leadership Application cont.) Duties: Employed from: to: May we approach this employer for a reference? ( Yes ( No 3. Medical history Any offer is made subject to the Institute reserving the right to ask you to obtain a full medical clearance following the completion of our pre-employment checks. If required such medical would be at your cost. Do you agree to undergo a medical examination if we request one? o Yes o No Do you suffer from hearing loss, sensitivity to chemicals, repetitive strain injuries or back injuries, or any medical condition or injury which may be aggravated by or which would impact on your ability to perform the tasks of this job? o Yes o No If yes, please describe the health problem: ______________________________ ____________________________ 4. Criminal record Have you been convicted by a Court of any cr@BLMNXYnop     " $ Z   L ƾƾƾƾƹƖh* h*h(GOJQJh(G h ^>** h L O P Q Z \ l m BDz|68:HJ`bx湱~~y h(G6h(Gh(GOJQJ jqh*h* h(6Cϴ* hh(GOJQJ/    & > Q \ n @Bxz 9!!@@7^7`gd(G ]9!!@@dhgd(G !@@d r9!!@@@d 9!!@@d  !9!!@@ 9!!@@ 79!!@@dhgd(G8:LdLMVbz  b]9!!@@@@7dh^7`gd(G  b9!!@@@@7dh^7` 9!!@@7dh^7`gdz/v 9!!@@@7dh^7` 9!!@@7dh^7` 9!!@@7^7`xz.345FGTU`almuxyz+LUݻ쫣ّّh(GOJQJ h=|6 h(G6hhz/v6CJOJQJhZc jqh* h*9*+}pc  ]u!@@@@gd(G  b9!!@@@@gd(Gdgd(G $da$gd(G  b9!!@@@@ 79!!@@gd(G  b]9!!@@@@7dh^7`gd(G  b9!!@@@@7dh^7` 9!!@@7dh^7`  b9!!@@@@7dh^7`gdz/v ~0n|~,(,*,4,6,8,,,,,,,,,.4.6.N...133442464L4N4»ړxq h$Dh(Gh(GOJQJ h(G6 h=|6CJ h(G6CJh>h(G5OJQJ h(G5h>h(GOJQJ jqh*OJPJQJ^J h(G>*h(GOJQJh(GPJmH nHsH tHh(G hqh(G,~2|~",@,,,wb  ]@@@v ]v^ gd(G ]u!@@@@gd(G  ]!@@@@@gd(G  b!@@@ 7 b!@@@dhgd(G  b!@@@dh  b9!!@@@@gd(G  b9!!@@@@dhgd(G  ]u9!!@@@@@gd(G   ]u@@@gd(G ! ]u!@@@@gd(G iminal offences? ( Yes ( No Do you have any criminal charges pending? ( Yes ( No 5. Additional information Please add here, or on a separate sheet, any additional information you wish to be considered in support of your application and which is relevant to it. Declaration I hereby give consent to the IPU New Zealand, Palmerston North to check with the New Zealand Police as to any convictions in my name. It is declared that to the best of my knowledge the answers in the application are complete and correct and I understand that if any false or deliberately misleading information is supplied, or any material information is suppressed, I will not be accepted, or if I am employed, my employment will be terminated. I also understand that any false information given in relation to medical history in relationship to gradual disease, infection, impairment or injury that could affect my performance of duties can result in my loss of entitlement for any compensation for Work Accident. 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