ECE Trained Relievers

ECE and Primary Trained Relievers
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best Contact Phone Number:*

Area CodePhone Number
E-mail Address:*
Which of the following statements best describes your right to work in New Zealand?*

I am a New Zealand citizenPermanently with no restrictions on hoursOther
Do you have any pending criminal convictions or court appearances?*

YesNo
Any medical information of which we need to be aware?
(E.g. allergies, asthma)
Are you a member of NZEI?*

YesNo
Registration Status*

FullProvisionalSubject to Confirmation
Registration Number
Expiry Date

MonthDayYear
Which Kindergartens would you like to relieve for?

All KindergartensNettie Riley (all day service)Wainuiomata Area - Arakura, Parkway, Pencarrow, Pukeatua, Sun ValleyStokes Valley Area - Holborn, Koraunui, Stokes ValleyWestern Hills - Maungaraki, KelsonCentral Hutt - Avalon, Boulcott, Dyer Street, Epuni, Moera, Naenae, Taita, Waiwhetu, WaterlooOther
What type of relieving are you interested in?*

Long term (over 6 weeks)Short term/ casual (day to day). Please specify days below.
Days you normally be available? This can be updated on a weekly basis

MondayTuesdayWednesdayThursdayFriday
References

Please provide us with the names of two people who could be contacted for current knowledge of you and your suitability for relieving teaching in our Kindergartens. Most recent supervisor or manager is preferred.
Name*
Person 1
Relationship*
Person 1
Phone*
Person 1
E-mail address
Person 1
Name*
Person 2
Relationship*
Person 2
Phone*
Person 2
E-mail address
Person 2
Qualifications Assessment – Trained Relievers
Qualifications – please include training provider and date awarded
Do you hold a current First Aid Certificate?

YesNo
Teaching Experience*
Other teaching related experiences*
Upload Cover Letter:

Upload a File

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Upload Resume:

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Upload Practising Certificate, Copies of Teaching Qualifications & First Certificates etc.

Upload a File

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Declaration
- I authorise Hutt City Kindergartens to contact my Referees.
- I authorise Hutt City Kindergartens to contact the appropriate agencies if needed to seek proof of my stated qualification.
- I authorise Hutt Kindergartens to seek a statement of service from my current and/or previous employer if required to support my application.
- If I am unsuccessful in this application, I understand that Hutt City Kindergartens will confidentially destroy my application material, unless I request its return.
- I certify that this application has been written and compiled by me and to the best of my knowledge the information provided is true and correct. To my knowledge, no information that would adversely affect my application has been omitted.
Equal Employment Opportunities (EEO) - Data Sheet
Ethnic Origin*

New Zealand European/PakehaNew Zealand MaoriSamoanTonganTokelauanCook Island MaoriNiueanFijianOther
Gender*

MaleFemaleNon binaryI would prefer not to sayOther
Age Bracket*

18-2526-3536-4546-5556-6566+
Are there any ways in which we can support you in achieving in your job?
For example: English as a second language / Supporting you in managing family commitments / Emotional and Mental Health / Physical Health and Mobility / Other areas
How did you hear about us?

Education GazetteSeek.co.nzHCK Facebook pageFriendEmployee of HCKOther
Copy code to verify your humanity*
NB: If you are having issues with submitting your application, please sumbit this form WITHOUT the attachments and email the attachments directly to: hr@huttkindergartens.org.nz
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