Application form
Position applied for:
(Required)
Personal information
Given / first name(s):
(Required)
Preferred name:
Surname/family name:
(Required)
Postal address
(Required)
Please fill in at least one of the next four fields.
Education
Tertiary education
Please list all relevant degrees, qualifications, and courses completed and any other eduction or courses you are currently undertaking
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional fields
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional fields
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional fields
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional field
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional fields
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional fields
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional fields
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
Add additional fields
Degree, qualification or course
Degree / qualification / course
Major
Name of educational organisation
Dates
If you cannot fit all the details of your degrees, qualifications, or courses in the fields above, use the space below to list additional information.
Employment history
Please list your employment history below. You may attach your curriculum vitae (CV) once you have completed the rest of this application form. If you are applying by post, you may attach your CV.
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
Add additional fields
Employment History
Date employed From - To
Employer's Name
Position Held
Reason for leaving
If you cannot fit all the details of your degrees, employment history in the fields above, use the space below to list additional information.
Additional information
List your skills, knowledge, abilities, or any other factors that you feel are relevant to your application for this position (if you are applying by post you may attach additional pages, if necessary).
Additional information
(Required)
General information
Employment eligibility
Are you a New Zealand citizen?
(Required)
Yes
No
If not
If not, (a) do you have right of permanent residence?
Yes
No
(b) do you have a valid work permit?
Yes
No
Criminal offences
Note: if you are deemed to have no criminal record under the terms of the Criminal Records (Clean Slate) Act 2004 then your answer will be 'no' (please refer to the Ministry of Justice's website for information about the clean slate scheme).
Health
Referees
Please give details of two referees whom you authorise us to contact and ask about your suitability for employment.
First referee
Name:
(Required)
Address:
(Required)
Contact telephone number:
(Required)
E-mail:
(Required)
Occupation / position held:
(Required)
Second referee
Name:
(Required)
Address:
(Required)
Contact telephone number:
(Required)
E-mail:
(Required)
Occupation/position held:
(Required)
Declaration
I,
(your name) , declare that the information contained in this application and in any supporting material (and/or attachments) is accurate and complete, and that the Controller and Auditor-General may rely on it in determining my suitability for employment. I have not omitted any information that could affect the Controller and Auditor-General's decision to employ me.
I accept that should my application be successful, the foregoing information is material to the Controller and Auditor-General and any falsification or withholding of such information will justify the immediate termination of my employment.
I authorise the Controller and Auditor-General to seek information from the following sources in order to verify the information in this application form (and associated documents) or obtain any other information relevant to my suitability for employment:
my named referees; and
my current or most recent employer(s).
I declare that the statements made in this application are true and complete to the best of my belief.
Your signature:
Date:
(Required)
Note: if you are submitting your application online we will ask you to sign this declaration during the recruitment process.