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| Name |
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| Family name |
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| Residential address |
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Postal address
(if different from above) |
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| Telephone |
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| Email |
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| Why do you want to work for us? |
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What area of interest do you wish to work in?
(Tick applicable box) |
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| What level do you consider yourself in terms of technical ability? |
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| What are the key skills you would bring to the role? |
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| What Microsoft Office products are you familiar with and to what level? |
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Product
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Level
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Outlook
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Word
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Excel
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Access
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PowerPoint
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| Other Software Packages and skill levels? |
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| What are your career goals? |
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| *Attach your Covering Letter (Optional) |
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Provide details of previous employment starting with your most recent position.
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| Name of Employer 1 |
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| Address |
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| Length of service |
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| Position held |
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| Nature of work |
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| Reason for leaving |
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| Name of Employer 2 |
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| Address |
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| Length of service |
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| Position held |
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| Nature of work |
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| Reason for leaving |
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Name of education organisation of highest qualification achieved
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Number of years attended
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Qualifications / Standard
of Achievement
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List other qualifications or
formal attainments you consider relevant:
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Do you have the legal right to work in New Zealand? (Permanent residence or valid work permit)
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Yes No |
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If your application is accepted, when could you commence employment?
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| Please list your interests and hobbies |
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Do you have any health issues which may affect your ability to carry out the functions of the job?
(If yes please specify)
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Yes No
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Are you taking any drugs or medicine?
(If yes please specify)
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Yes No
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| *Attach your Curriculum Vitae (Optional) |
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