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Application

Raukura Hauora O Tainui is an EEO (Equal Employment Opportunity) employer and does not discriminate against any current or future employee. If you feel that at any stage this organisation or a representative of this organisation has discriminated against you, we encourage you to seek the appropriate advice.

Information provided is strictly confidential to the Applicant and the Employer. All information submitted by the Applicant on this form will not be divulged to any other party without the signed consent of the Applicant except where the information is necessary for the health and welfare of the applicant.

Please enter the following details for your application. All sections marked with an asterix * are compulsory sections.

Which role are you applying for?

Personal Details
First Name*
Last Name*
Phone*
Address*
Email*
Ethnicity
Tribal Affliliations (If applicable)

Do you hold a current NZ Drivers License?	Yes No
Are you a permanent NZ Citizen or hold a permit to work in NZ?	Yes No
Do you have any criminal convictions including driving offenses?	Yes No
If you get offered the position, do you agree to undergo a criminal background check?	Yes No
Do you have any medical condition which might affect your ability to perform the job for which you are applying?	Yes No
Do you give consent for Raukura Hauora O Tainui to contact your nominated professional referees?	Yes No

Please enter two contact professional referees
Referee 1
Name
Position
Company
Phone Number
Relationship
Referee 2
Name
Position
Company
Phone Number
Relationship