Apply online for a job at Kerikeri Retirement Village

We invite you to provide information for the purpose of assessing your application and suitability for employment. The information in this application is requested in accordance with the Privacy Act 1993. If successful, such information shall form part of the Organisation’s personnel records. You are entitled to access this information upon request to the Manager. Information relating to unsuccessful applicants may be kept up to three months and then will be destroyed.

The completion of this form does not indicate that there is any obligation by Kerikeri Village Trust to engage you as an employee.

Start your application:

Position applied for *

Contact Details

Title: *

Given Name/s: *

Preferred name: *

Surname: *

Date of Birth: *

Postal Address: *

Street Address: *

Home Phone: *

Work Phone: *

Mobile:

Email: *

Where did you hear about the vacancy: (e.g. other employees/working as a casual): *

If newspaper, please select which one:

Education / Qualifications

Name of Secondary School(s) attended: *

Specify the highest level of education achieved: *

Please describe the skills you hold which are relevant to the position applied for: *

Employment History - Employer Details

Company: *

Job Held: *

From: *

To: *

Main Duties: *

Reason for Leaving: *

Hours Per Week: *

Do you consent to Kerikeri Retirement Village contacting your present employer for the purposes of reference checking? *

Application of skills / Work experience:

Please summarise your work experience, skills, and competencies that make you suitable for the role. You may like to include any interests/hobbies/sports/clubs or community activities you take part in: *

Referees:

Please provide given names, addresses and telephone / mobile / fax numbers of three Referees (preferably from previous employers):
Referees should not be related to you by birth or marriage. Referees should be notified that they might be contacted

Company / Organisation: *

Name of Referee: *

Position: *

Address: *

Phone: *

Mobile:

Health

How many days absence from work due to sickness have you had during the past two years: *

Have you ever been a patient in hospital?*

Have you ever had, or do you suffer from any of the following, If so give details

Asthma, TB, bronchitis, pleurisy, or any other lung disease: *

High blood pressure, rheumatic fever or any heart complaint: *

Gastric or duodenal ulcer or any liver or gall bladder disease: *

Epilepsy, fainting attacks, fits or blackouts: *

Diabetes or kidney disease: *

Any trouble with your back, feet or legs: *

Any skin infection or other abnormal skin condition: *

Any psychiatric disorder: *

Any other disability or illness: *

Have you ever had: broken bones, concussion, head injury, sprain, or strain: *

Are you taking any drugs or undergoing any form of medical treatment? *

Have you ever been unable to hold a job for medical reasons? *

Have you ever been rejected for health reasons, for any employment, life insurance, or for military service? *

Immunisation

Have you had or ever been immunized against any of the following

Diptheria *

Tetanus *

TB (B.C.G.) *

Polio *

Measles (English) *

German Measles (Rubella) *

Mumps *

Hepatitis B (Hep B) *

Meningitis (Men B) *

Have you been tested for antibodies

Have you had or ever been immunized against any of the following

Against Rubella*

Against Mumps*

Against Hepatitis A & B*

Do you have any medical conditions or injuries that would affect your ability to perform this job effectively and in a safe manner to yourself and others? *

Do you consent to a medical examination (if required) on appointment *

Do you consent to participate in an immunization programme (if required) on appointment *

General

Have you worked for Kerikeri Retirement Village before *

Are you legally entitled to work in New Zealand *

Do you hold a current practicing certificate (if applicable) *

Can you speak any languages other than English:

If your application is accepted when could you commence employment: *

Do you have secondary employment? *

Which are your preferred days / hours of work *

Application for Employment.

Start your application:

Contact Details

Education / Qualifications

Employment History - Employer Details

Application of skills / Work experience:

Referees:

Health

Have you ever had, or do you suffer from any of the following, If so give details

Immunisation

Have you been tested for antibodies

General

Employment History - Employer Details

Referee

caring for your future

Lifestyle Options

Latest News

Browse