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RNZFB Job Application Form

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 (Required) Please enter the name of the position you are applying for.

First Name/s (Required) Please enter your first name/s.

Family Name (Required) Please enter your family Name.

Preferred Name Please enter any name you preferred to be known by.

Address (Required) Please enter your address.

Phone Number/s you wish to be contacted on (Required) Please enter the phone numbers that you wish to be contacted on.

Email address Please enter an email address that you wish to be contacted on.

Where did you hear about this vacancy? (Required)

If other then please specifiy

What are your reasons for applying for this position? (Required)

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

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

Do you speak any languages other than English? Please detail any such languages

If your application is successful, when could you commence employment? (Required)

Legal Work Status

In what capacity are you legally entitled to work in New Zealand? (Required)

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 below the type of work permit you have and the expiry date.

Criminal Convictions

Do you have any present criminal convictions, not including any concealed under the Clean Slate Act? (Required)

If yes, please state the offence

Are you awaiting the hearing of charges in a civil or criminal court of law? (Required)

Please note

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 position.

Medical Conditions

Do you suffer from any injury, disease or infection which may affect your work performance or regular attendance? (Required)

If yes, please explain your condition

Employment History

Please summarise your previous jobs starting with the most recent.

Present or Most Recent Employer

Company / Organisation (Required)

Job Held (Required)

Main Duties (Required)

Number of Hours Worked Per Week (Required)

Date Service Commenced (Required)

Date Service Finished (Required)

Reason for Leaving (Required)

Second Most Recent Employer

Company / Organisation

Job Held

Main Duties

Number of Hours Worked Per Week

Length of Service

Reason for Leaving

Third Most Recent Employer

Company / Organisation

Job Held

Main Duties

Number of Hours Worked Per Week

Length of Service

Reason for Leaving

Education

Please give details of your education, qualifications and training. (Required)

References

Please list two referees (not relatives) whom we can contact concerning previous employment.

First Reference

Name (Required)

Title (Required)

Company/Organisation (Required)

Contact Details (Required) Please include a contact phone number

Second Reference

Name (Required)

Title (Required)

Company/Organisation (Required)

Contact Details (Required) Please include a contact phone number

Communication of this Application

What is your preferred method of contact? (Required)

Braille

Hardcopy

Large Print

Declaration

I declare that 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. Check box if you agree.

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. Please check the box if you agree.

Attachments

Please attach your covering letter

Please attach your curriculum vitae

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The Royal New Zealand Foundation of the Blind

RNZFB Job Application Form