Confidential - Application for employment

Successful submission

Thank you for submitting your job application.

The information you provide on this form for employment will be collected and held by the Health and Disability Commissioner.

This information is collected for the purpose of assessing your suitability for employment with the Health and Disability Commissioner which may include subsequent changes in employment within the office of the Health and Disability Commissioner.

You have a right of access to personal information and to seek any correction you think necessary to ensure accuracy.

You need to specify which job you have applied for

Note: In order for us to consider your application you should provide complete information in answer to each question unless otherwise advised, regardless of whether you consider it relevant to the position applied for.

Information given in Sections 1 – 3 can be repeated and expanded in your CV, which you must attach at Section 7 of this form.

Section 1 - Personal information

First name is required
Your last name is required
Your address is required

Section 2 - Education (including university, further education etc)

Section 3 - Employment history (start with the most recent position)

Have you previously been employed by HDC

Do you agree to enquiries being made as to the accuracy of information contained in this application form or any other matter relating to your suitability for employment?

Can we enquire the present employer

Please give details of at least two direct line managers as referees who you authorise us to contact, one of which must be your current/last direct line manager.

Section 4 - General

Yes or No is required
Have you had any criminal offence
Do you consent to a Criminal Conviction check?
Select one option
Is there any conflict of interest
When can you start
Salary expectation
Are you allowed to work in NZ
Where did you see the role advertised

Section 5 - Medical

In accordance with the Public Service Workforce Guidance for the COVID-19 Protection Framework, HDC requires new employees and other newly contracted workers to be fully vaccinated against COVID-19.

Any health conditions

Section 6 - Additional information

Any additional information

Section 7 - Attachments

Section 8 - Declaration

Please accept our declaration

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