ECE Trained Relievers

ECE and Primary Trained Relievers

Name: *

First Name Last Name

Address: *

Street Address

Street Address Line 2

City

Postal / Zip Code

Best Contact Phone Number: *

Area Code Phone Number

E-mail Address: *

Emergency Contact/s

Name and contact phone number

Any medical information of which we need to be aware?

(E.g. allergies, asthma)

Are you a member of NZEI? *

Yes No

Do you have any pending criminal convictions or court appearances? *

Yes No

Registration Status *

Full Provisional Subject to Confirmation

Registration Number

Expiry Date

Month Day Year

At which Kindergartens would you like to relieve? *

What type of relieving are you interested in? *

Long term (over 6 weeks) Short term/ casual (day to day). Please specify days below.

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.

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

Teaching Experience *

Other teaching related experiences *

Upload Cover Letter:

Upload Resume:

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

Upload a File

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/Pakeha New Zealand Maori Samoan Tongan Tokelauan Cook Island Maori Niuean Fijian

Gender *

Male Female

Age Bracket *

18-25 26-35 36-45 46-55 56-65 66+

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 Gazette Seek.co.nz HCK Facebook page Friend Employee of HCK

Copy code to verify your humanity *