Job Application

Please complete the application form below. At the end of the application form you will be asked to attach a covering letter and your curriculum vitae.

This information is collected for the purpose of assessing your suitability for employment with the Royal New Zealand Foundation of the Blind.

* Position Applying for

* First Name

* Family Name

* Preferred Name

* Address

* Please enter the phone numbers you wish to be contacted on

Email Address

* Where did you hear about this vacancy?

If other, then please specify

* What are your reasons for applying for this position?

Have you ever worked for the RNZFB or an associated organisation before? If yes, please state which organisation.

Are you related to anyone currently employed at the Foundation? If so, please state the name of the employee and your relationship to them. (Please note: this information will only be used within the guidelines of The Human Rights Act 1993, section 32.)

Are you involved in any community activities? If yes, in what capacity.

Do you speak any languages other than English?

* If your application is successful, when could you commence employment?

Legal Work Status

* In what capacity are you legally entitled to work in New Zealand?

As a New Zealand or Australian Citizen
As a Permanent Resident
As a holder of a current New Zealand work permit
I have no legal entitlement to work in New Zealand

If you are a holder of a current work permit, please state the type of work permit you have and the expiry date.

* Do you have a current Drivers Licence? If yes, please specify class(es) covered and provide your Drivers Licence number.

Criminal Convictions

* Do you have any present criminal convictions, not including any concealed under the Clean Slate Act

yes
no

If yes, please state the offence.

* Are you awaiting the hearing of charges in a civil or criminal court of law? NB. A conviction will not necessarily exclude you from employment with the RNZFB, but will be taken into consideration when assessing your suitability for this particular role.

yes
no

Medical Conditions

* Have you had any injury or medical condition caused by gradual process, disease or infection?

yes
no

If yes, please specify.

Employment History

* Most Recent Employer

* Job held

* Main Duties

* Number of Hours Worked Per Week

* Date Service Commenced

* Date Service Finished

* Reason for Leaving

* Second Most Recent Employer

* Job held

* Main duties

* Number of hours worked per week

* Date Service Commenced

* Date Service Finished

* Reason for Leaving

* Third Most Recent Employer

* Job held

* Main duties

* Number of hours worked per week

* Date Service Commenced

* Date Service Finished

* Reason for Leaving

* Have you ever received a warning or been dismissed for misconduct or serious misconduct at any time?

Yes
No

If yes, please give further information

Education

* Please give details of your education, qualifications and training.

References (employment related)

* Name of first reference

* Job title

* Company/Organisation

* Contact details (Please include a contact phone number)

* Name of second reference

* Job title

* Company Organisation

* Contact details (Please include a contact phone number)

* I consent to the RNZFB seeking verbal or written information on a confidential basis about me from my referees for the purpose of ascertaining my suitability for the position I am applying for.

Communication of this Application

* What is your preferred method of contact?

Braille
Hardcopy
Email
Large Print

Declaration

* I give consent to the RNZFB retaining the information contained in this application form for the purposes of considering your suitability for any other position, which may arise with the RNZFB in the future.

* The answers to the questions in this application are true and complete. I understand that if any false information is given deliberately, or any information suppressed, that I may not be accepted, or if I am employed, my employment will be terminated.

* I also understand that any false information given in relation to my medical history with regards to gradual process, disease or infection can result in my loss of entitlement for any compensation from ACC.

Attachments

* Please attach your covering letter

* Please attach your curriculum vitae

* I have attached my documents in Word format only

Quick links

Who we are

The Royal New Zealand Foundation of the Blind (RNZFB) is the country’s main provider of sight loss habilitation and rehabilitation services to over 11,500 blind and partially sighted New Zealanders.

We equip our members with the adaptive skills, technology and resources they need to overcome the barriers they face to participating fully in society and leading independent lives.

Our vision is to empower and support blind and partially sighted people to ensure they have the same opportunities and choices as everyone else.

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Jersey Boys audio described performance: THE EDGE Centre for Performing Arts in Auckland will present an Audio Described performance of Jersey Boys on 3 June 2012. To book, phone 09 357 3354 or email groups@the-edge.co.nz 15 May 2012
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SEED leadership application deadline extended: Don't miss your chance to develop your leadership skills! The RNZFB is looking for existing and emerging leaders within the blindness community to take part in our SEED Leadership programme. Apply by 28 May 2012. 03 May 2012
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