Job Application form

Online job application form

To Apply: Please complete all of the details below. At the bottom of the page, please upload your CV, a covering letter and any relevant supporting documents.
I am applying for:
Full Name:*

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Daytime phone number:*

Area CodePhone Number
Mobile phone number:
E-mail:*
Residency status:*

NZ CitizenNZ Permanent Resident with work experience in NZWorking holiday / Student VisaOther
How did you hear about this vacancy?

ORC WebsiteSeekTrade MeNewspaperOther
Please indicate your salary expectations for this role. (If you are not comfortable disclosing this information please state “Unknown”).*
Please note: If you have entered an email address you will receive a copy of your online application to that address.

If you do not receive anything into your inbox please check your junk/spam folder as it may automatically go into this folder.
Fitness to Undertake Work

The following questions are intended to enable the Otago Regional Council to determine whether applicants have any medical condition, injury or impairment that may affect their ability to undertake the work required of them. It will also enable Council to identify areas where there are potential Health and Safety risks to either yourself of others relating to, or as a result of, such condition.
Have you ever had significant absence from work as a result of any illness, physical or mental, injury or infection, and that may affect your ability to perform that role you are applying for?*

YesNo
Are you aware of any physical or mental illness, injury (including sensitivity to chemicals, allergies, or sensory difficulties), infection or other condition that may affect your ability to satisfactorily undertake, or be aggravated by, the role you are applying for?*

YesNo
Is there anything else you know of that could affect your ability to satisfactorily undertake the role you are applying for, or your ability to attend work regularly?*

YesNo
If yes, please provide details.
In relation to any of the answers you have provided to the questions above, are there any considerations we should make as the Employer, if you are successful in your application, for circumstances where you may require some accommodation for, or adaptation in the workplace, relevant to this role?*

YesNo
If yes, please provide details.
Driver Licencing and Criminal Conviction History
Do you hold a current drivers licence? If yes, please list all classes and include any restrictions.*

YesNo
Licence class and/or restrictions
Do you have any driving convictions, besides parking? If yes, please give details.*

YesNo
If yes, please give details of driving convictions
Do you have any criminal convictions, either past or pending, or are you awaiting trial or likely to have a criminal case come to court in future*

YesNo
If yes, please give details of criminal convictions
Cover letter upload:

Upload a File
5 MB size limit Cancelof
CV upload:

Upload a File
5 MB size limit Cancelof
Other document if applicable:

Upload a File
5 MB size limit Cancelof
Should be Empty:

Online job application form