Purpose

This information is collected for the purpose of assessing your suitability for employment at Diocesan School for Girls, which may include changes in position within the School.

Note:

• The completion of this form does not indicate that there is any obligation on Diocesan School for Girls to engage the applicant.
• The information you provide on this application for employment form will be held at Diocesan School for Girls.
• Where the information provided is deemed to be irrelevant for the position, the information provided shall not be considered by Diocesan School for Girls for your application.
• You have a right of access to personal information and to seek any correction you think necessary to ensure accuracy.
• If you fail to answer any of the questions on this form you may lessen your chances of gaining employment with Diocesan School for Girls.

* required fields POSITION Tips

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Tips

• Field labels suffixed with a red * require an entry.
• Use the tab key or mouse to move from one field to the next.
• To make a selection from a drop down list type the first character of your option, use the up and down arrows or your mouse to move to the previous or next option in a drop down list and press the tab key or left click your mouse once to select.
• You can highlight a text field and copy and paste the contents to another field.

If you experience any difficulty with this online form please email the School for assistance.

Position you are applying for?* Type of Position Selected Employment Teaching staff Non-teaching staff Your Name Family Name* Given Names* Title* Title Dame Dr Lady Master Miss Mr Mrs Ms Rev Sir The R.H. The Rev Canon Previous Surname If used in teaching Home Address Street / Road* Suburb* City / Town* Post Code Country* Country NEW ZEALAND AUSTRALIA ENGLAND ABU DHABI ALASKA ARGENTINA AUSTRIA BANGLADESH BELGIUM BERMUDA BOSNIA BRAZIL BRUNEI BULGARIA CAMBODIA CANADA CAYMAN ISLANDS CHINA CROATIA CYPRUS CZECH REPUBLIC DENMARK EGYPT ESTONIA ETHIOPIA FIJI FINLAND FRANCE FRENCH WEST INDIES GERMANY GREECE HOLLAND HUNGARY INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAPAN KENYA KUWAIT LAOS LATVIA LEBANON LITHUANIA MACAU MALAYSIA MOROCCO NAMIBIA NAURU NETHERLANDS ANTILLES NIGERIA NORFOLK ISLAND NORWAY PAPUA NEW GUINEA PHILLIPINES POLAND ROMANIA RUSSIA SAMOA SAUDI ARABIA SCOTLAND SEYCHELLES SINGAPORE SOLOMON ISLANDS SOUTH AFRICA SOUTH KOREA SPAIN SRI LANKA SURABAYA SWEDEN SWITZERLAND TAIWAN THAILAND TONGA TRINADAD & TOBAGO UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES OF AMERICA VANUATU VIETNAM WALES YUGOSLAVIA ZAMBIA ZIMBABWE Phone (Home)* Mobile (Home) Email (Home)* LEGAL WORK STATUS Are you legally entitled to work in New Zealand?* Select Yes No CLASSIFICATION Are you a New Zealand Registered Teacher?* Select Yes No

QUALIFICATIONS Tips

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Are your qualifications outlined in your CV?* Select Yes No Qualification type Subjects or Papers passed and levels Date / Year Completed Qualification Bachelors Degree Bachelors Degree with Honours Certification Diploma Doctorate Degree Graduate Diploma Masters Degree Masters Degree with 1st Class Honours Masters Degree with Honours Not Applicable Other Post Graduate Diploma LANGUAGES Tips

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Can you speak any language other than English?* Select Yes No Language Language Afghani Afrikaans Albanian Amharic Arabic Aramaic Armenian Assyrian Bahasa Malay Bengali Bulgarian Burmese Cantonese Catalan Cook Island Maori Croatian Czech Dutch Egyptian English Esperanto Farsi (Persian) Fijian Finnish French Gaelic German Gilbertese Greek Gujerati Hakka Hebrew Hindi Hmong Hokkien Hungarian Indonesian Iranian Italian Japanese Javanese Khmer Korean Kurdish Lao Lithuanian Malay Malayalam Maltese Mandarin Maori Niuean Other Polish Portuguese Punjabi Rarotongan Romanian Russian Samoan Serbian Sinhalese Slovak Slovenian Somali Spanish Swahili Swedish Tagalog/Filipino Tahitian Tamil Tetum (Timor) Thai Tokelauan Tongan Turkish Ukranian Urdu Vietnamese Welsh Yiddish if Other* if Other* if Other* if Other* if Other* if Other*

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If applicable for the position, do you agree to undergo medical examination?* Select Yes No
Do you consent to undergo periodic, medical related assessments if applicable to the position?* Select Yes No
Have you had an injury or medical condition caused by gradual process, disease or infection that may be aggravated or further contributed to by the tasks of this position?* Select Yes No

If yes please detail* Do you have any allergic reactions?* Select Yes No
If yes please detail* Do you have any existing medical conditions the School should be aware of in case of emergency?* Select Yes No
If yes please detail*

GENERAL Tips

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Do you have a spouse, partner, relative, close friend or household member working for Diocesan School for Girls who will have a direct reporting relationship with you if you are selected for this position?*

Select Yes No If yes - Who?* Where?*

Have you ever been convicted of any criminal offence against the law (apart from minor traffic convictions) not including any concealed under the Criminal Records (Clean Slate) Act 2004 or do you otherwise know of any reason why you should not be employed to work with Boards of Trustees, and/or in the school/education environment? *

Select Yes No

Are you awaiting the hearing of charges in a civil or criminal court of law that could be considered detrimental to your application for this position? *

Select Yes No

Please note:

(a) You may be asked to provide a copy of the relevant Court record(s) obtainable from the Police.

(b) Failure to provide correct and true details of any conviction or reason for possible unsuitability may make you liable to dismissal from the employ of the Diocesan School for Girls Board of Governors should you be the successful applicant.]

The Education Standards Act 2001 requires any person seeking a position in a school who is not a registered teacher or holder of a limited authority to teach to undergo a police vet. If requested, do you agree to undergo a police vet?*

Select Yes No EMPLOYMENT HISTORY Tips

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Have you ever before worked for Diocesan School for Girls?* Select Yes No If your application is successful when could you commence work? * format dd/mm/yyyy
Company Name* Position Held* Start Date* End Date* Reason for leaving*
REFEREES Tips

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Please give the name, organisation and telephone numbers of at least three referees.

Name* Position Organisation* Phone*

I agree to the references / referees provided to the Diocesan School for Girls Board of Governors, in respect to my application for the position, being used for the purposes of considering my suitability for the position. I also agree that Diocesan School for Girls may make further verbal or written enquiry from the referees provided and from my previous employers.

Agree
Disagree

Do you consent to Diocesan School for Girls retaining the information contained in this application form for the purposes of considering your suitability for any other position, which may arise within the School in the future?*

Yes No

DECLARATION

I declare that to the best of my knowledge the answers in this application are correct and I understand that if any false or deliberately misleading information is given, or material fact suppressed, I will not be accepted, or if I am employed my employment may be terminated.

I also understand that any false information given in relation to my medical history with regards to gradual process, disease or infection may result in loss of entitlement for any compensation from ACC or the Board’s accident insurer.

Agree
Disagree ATTACH CV AND SUPPORTING DOCUMENTS

Dear Applicant

Thank you for your online application.

We will be in contact with you again after applications have closed and a short list is compiled. You are welcome to contact us in the interim if you have any questions or require more information.

Yours sincerely

HR Advisor
Tel: +64 9 520 0221