Where did you see this role advertised?

Are you a current employee at Waitaki District Council?

Which best describes your residency status?

Please indicate if you have previously worked for the Waitaki District Council

Do you have a spouse, partner or relative currently working for Waitaki District Council?

Do you have any criminal convictions or are you under investigation for any criminal matter?

Do you have, or have you had, any injury or medical condition that may affect your ability to fully and effectively carry out the tasks and responsibilities described in the Position Description for the role you are applying for?

Do you hold a current, full New Zealand Drivers Licence?

Are you confident driving an automatic, manual, or 4WD vehicle?

If required, do you consent to the Waitaki District Council undertaking the following security checks? Criminal History/ Police Checks, Drivers Licence, Credit Checks, Dismissal Register, Other (if relevant)

Please indicate your expected salary range

I consent to the Waitaki District Council obtaining confidential, verbal or written information about me from my nominated referees or the author of any written reference or statement of service that I have provided for the purpose of assessing my suitability for this position. I declare that the information I have supplied in this application (and other supporting information including the attached CV) is true to the best of my knowledge. I accept that false declaration or failure to disclose relevant information could result in immediate dismissal. I also understand that any false information given in relation to my medical history may result in my loss of entitlement for any compensation from the Waitaki District Council's or other workplace insurer. By stating your name below means you agree to this above declaration.