Address - where you live

Primary contact number

Position applied for

When are you able to commence employment?

What is your highest level of qualification?

Do you have a New Zealand drivers licence?

What drivers licences classes do you hold?

Are you legally entitled to work in New Zealand?

Yes No

Please describe your latest work position and the following information:

Last/present employer

Key responsibilities

Have you or do you suffer from any of the following?

Do you wear glasses?

Yes No

Have you suffered any serious injury or illness that may affect your ability to effectively carry out the functions and responsibilities of this position?

Yes No

What is your current Covid-19 vaccination status?

Vaccinated Unvaccinated Would rather not say

Are you taking any medication which may affect your ability to carry out the duties for this required position?

Yes No

If yes, please provide details:

Do you have any allergies?

Yes No

If yes, please provide details:

Do you consent to undertake a pre-employment drug and alcohol screen to determine your ability to perform the job you have applied for? (Note: Te Arawa Mahi carries our mandatory pre-employment drug testing. An applicant returning a non-negative result will not be considered for employment)

Yes No

If requested, do you agree to undergo a medical examination to ascertain your ability to perform the job you have applied for?

Yes No

Do you have any criminal convictions, not including any concealed under the Criminal Records Clean Slate Act?

Yes No

If yes, please provide details:

Have you ever been convicted of an offence that carried a penalty of two or more years imprisonment?

Yes No

If yes, please provide details:

Are there any personal circumstance known to you that would affect your ability to perform your duties on a full-time basis?

Yes No

If yes, please provide details:

Have you ever been dismissed from employment for any reason?

Yes No

If yes, please provide details:

Emergency contact name:

Emergency contact phone number:

How did you hear about Te Arawa Mahi?

By submitting this form you acknowledge that Te Arawa Mahi may see information from or provide information to Government Agencies including WINZ for employment related purposes and where we are legally obligated to do so. In submitting this information to Te Arawa Mahi, you confirm your agreeance with the business retaining this information for recruitment purposes. Te Arawa Mahi confirms that all information will be kept secure and confidential in compliance with the Privacy Act 2020. By submitting this form you will be added to our Te Arawa Mahi newsletter database. You can unsubscribe at any time.

Yes No

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Te Arawa Fisheries
Lakesyde Business Centre
Level 1, 1204 Whakaue Street
Rotorua 3040

Te Arawa Fisheries
PO Box 1896
Rotorua 3040

+64 7 349 3227

info@tearawafisheries.maori.nz

BEING TE ARAWA

TE ARAWA TODAY

Ehara taku toa i te toa takitahi engari he toa takitini

We come not with our own strengths, but bring with us the strengths of our iwi, hapu and whanau together.

STAY UP TO DATE!

Sign up for our e-panui.

GET IN TOUCH

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