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Te Hiku Hauora
Employment Application

PERSONAL DETAILS
POSITION APPLIED FOR
What interests you about working for Te Hiku Hauora?
IWI / HAPU AFFILIATIONS
DRIVERS LICENCE
Do you agree for a copy of your NZ driver’s license to be provided to Te Hiku Hauora’s Operations team for Te Hiku Hauora fleet car purposes?
CRIMINAL CONVICTIONS
The Trust has a smoke and vape free policy and a smoke and vape free programme, Toki Rau available at no cost if required with regular support and assistance.
EMERGENCY CONTACT DETAILS
PRIMARY EMERGENCY CONTACT
SECONDARY EMERGENCY CONTACT
LEGAL WORK STATUS
Have you reached the current school leaving age?
Are you legally entitled to work in New Zealand?
What is your current status? Please circle applicable option below:
AVAILABILITY FOR WORK
QUALIFICATIONS, TRAINING, LICENCES
Please list below any of your school, tertiary, professional, trade or any other qualifications that are relevant to this application.
EMPLOYMENT HISTORY
Key duties/Responsibilities:
Reason for leaving
REFEREES
REFEREE 1
REFEREE 2
PLEASE UPLOAD YOUR CV 
Upload File

PRIVACY ACT 1993
The information you have supplied on this application form, including the information in your CV, is to assess your suitability for employment with the Trust for the position applied for. Should we require evidence of your skills and experience you consent to produce such information, as necessary. Your information will be held securely in the Trusts Personnel files. No information will be disclosed to third parties without your authorisation, except as required by law. You have the right to access and request corrections to your personal information held by the Trust if there are incorrect details recorded.

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