Legal Administrator

Are you a NZ citizen or resident?

If your answer to the question above is no, are you legally entitled to work in New Zealand?

If yes, please give details of your visa type, number and expiry

Please provide your postal address

Please indicate your preferred name order

Optional: please list your pronouns

How did you hear about the role you are applying for?

What is your salary expectation?

What date are you available to start employment?

Have you applied for a position at Simpson Grierson before?

If yes, what position?

Have you ever been convicted of any criminal offence that involves fraud, dishonesty or acts of assault or violence, or are there any criminal charges pending? You need to be aware that under the Criminal Records (Clean Slate) Act 2004, you may not be required to disclose certain convictions that are covered by the Act.

If yes, please give details:

Have you ever had your employment terminated for reasons of poor performance or misconduct?

If yes, please give details:

Have you ever been on a performance improvement or performance management plan?

If yes, please give details:

Are you aware of any medical or health-related condition or any injury that may affect your ability to carry out the full range of requirements required of this position, or which may be aggravated/further contributed to by any tasks of this job or may require us to take particular steps to safeguard your health at work?

If you have answered "yes" to the health question above, please give details:

Are there any special services or facilities which we could provide you to assist you in carrying out your work duties?

If yes, please give details:

Personal Declaration: Personal Declaration and Signature: I declare that the information provided in this form and other documents and correspondence provided in the process of my application are true and correct and provide a balanced and complete view of the details relevant to considering me for employment. I understand that any incorrect, misleading or omitted information may disqualify me from appointment, or if already appointed, that my employment may be terminated. I also understand that any false information given in relation to the health section of this form may result in my loss of entitlement to any work-related compensation as well as possible dismissal from employment. I acknowledge that the written comments and assessments on my suitability, interview notes, referee comments and psychological assessment comments will be deemed evaluative and therefore confidential to Simpson Grierson. I acknowledge and consent to all application-related documents, including the evaluative information described above, being stored in Simpson Grierson's cloud-based recruitment database for a period of five years for the purpose of considering me for current and future roles at Simpson Grierson. I consent to Simpson Grierson seeking verbal or written information about me on a confidential basis from the referees I have nominated and I authorise the information requested to be released. I have read and accepted the above statement.

Legal Administrator - Float