Site Coordinator Roading

Upload your resume

Personal Details

Title

First names

Surname

Preferred Name

Phone

Mobile

Street Address

Suburb

City

Postal Code

Have you ever been employed by Kāpiti Coast District Council?

Conflict of Interest

Declaration of a conflict of interest does not necessarily exclude employment opportunities within the Council. The following question is to ensure we identify any conflicts whether actual, perceived or potential.

Do you have any private or professional interests or associations that have the potential to impact on your ability to carry out, or be seen to carry out, your duties impartially and in the Councils interest? If YES, please specify your private/professional interest and/or associations

Do you have or have you had a spouse, partner, relative, or household member currently or previously working for Kāpiti Coast District Council? If YES, in which Council team/group? Please provide the name of person(s) and state relationship

Right to work in NZ

Are you legally entitled to work in NZ?

Please attach a copy of evidence of your entitlement to work in New Zealand (if applicable)

Proof of Identity

Please upload a copy of proof of identity such as: Drivers Licence, 18+ card, Passport or Birth Certificate

Previous Convictions

You may not have to reveal certain convictions concealed by the Criminal Records (Clean Slate) Act 2004. If you are unsure, seek independent advice. Please refer to www.justice.govt.nz for further guidance.

Do you have any criminal convictions, and/or are you under investigation for any criminal matter? Please answer yes or no below. If YES, please add details.

Criminal History and Credit Checks

Some roles require completion of a Criminal History and/or a Credit Check due to responsibilities associated with the role. A separate form may need to be completed in such an instance.

If required, do you agree to these checks?

Health and Safety Requirements

Declaration of a medical condition does not necessarily exclude employment opportunities within the Council. The following questions are to ensure you can safely carry out the position.

Do you have any health, injury, or wellbeing-related needs or conditions that could affect your ability to safely perform the duties of this role, and are there any adjustments or supports you may require? If YES, please provide full details

If you disclose a condition that may impact your ability to safely perform the role, are you willing to participate in a Council-funded medical assessment to help determine any required adjustments?

Declaration

Security checks (such as police vetting, criminal history, credit, financial, drivers licence status, traffic infringements and dismissal register) and agree to co-operate in providing information to assist that vetting process. I further understand that should any offer of employment be made that this will be subject to satisfactory results being obtained from Kāpiti Coast District Council’s pre-employment screening process. In the event that any results are deemed unsatisfactory to Kāpiti Coast District Council then any employment relationship will be terminated.

I confirm

Confidentiality and Privacy

This information is collected for the purpose of assessing your suitability for employment at the Kāpiti Coast District Council (the Council) in accordance with the Privacy Act 2020. Your personal information will be treated as confidential and will only be shared with staff involved in the recruitment process. If you are successful in obtaining employment with the Council, this information will be securely stored in our recruitment system. If you are not the successful applicant Do you consent to the Council retaining your personal information on file for up to 24 months so that we can contact you about future opportunities that align with your skills and experience? You may access your personal information and request corrections to it, or request that your information be securely disposed of, at any time. If you do not consent to us retaining your information on file, it will be securely disposed of at the end of the recruitment process.

I consent

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