Home
Careers
Events
News
Online Store

Cart $0.00 Account AA

Donate now

About Your Local Hospice

Do You Need Our Help?

Easy Ways You Can Help

Your Gift Of Time

Retail Therapy For You

Professional Education

Application for Employment

About Your Local Hospice

Do You Need Our Help?

Easy Ways You Can Help

Your Gift Of Time

Retail Therapy For You

Professional Education

Please note - all fields marked with an asterisk (*) are required to complete this form.

Personal Details

Name *

Address

Work Phone

Home Phone

Mobile Phone *

E-mail *

Retype E-mail *

Position Applying For *

Availablility to Start *

Salary Expectations *

Past Employment (Please start with your most recent employment and work backwards)

Date from *

Date to *

Employer *

Position *

Reason for Leaving *

Date from

Date to

Employer

Position

Reason for Leaving

Date from

Date to

Employer

Position

Reason for Leaving

Referees (Please provide the names of at least two work referees/previous employers we can contact about your suitability for employment. The referees should preferably be your line manager.)

a. Referee's name *

Relationship to candidate *

Contact phone number *

Contact email address *

b. Referee's name *

Relationship to candidate *

Contact phone number *

Contact email address *

Do you consent to us contacting your referees for Reference Checking? *

Yes
No

Are you a member of any professional institution? *

Yes
No

If yes, pleast list

Qualifications / Current Studies (A copy of your academic record may be supplied with your CV)

Degree / Qualification

Date Obtained (year)

Name of Institution

Degree / Qualification

Date Obtained (year)

Name of Institution

Degree / Qualification

Date Obtained (year)

Name of Institution

Computer / Information Technology Skills (Please indicate your level of competence by selecting the description which best describes your skill level

Microsoft Outlook/ Sending emails *

Microsoft Word *

Microsoft Excel *

Competent knowledge of other computer programmes - please provide details

Job specific

Why I believe I would be a good candidate for this position

Please attach a Cover Letter *

(file size 1MB max)

Please attach your CV *

(file size 1MB max)

Health (Pursuant to the Accident Insurance Act 1998)

Do you have any condition, injury or illness which may affect your ability to effectively carry out all the functions and responsibilities of the position applied for? *

Yes
No

If yes, please explain

Other Employment

Do you currently undertake any secondary employment? *

Yes
No

If yes, please describe

Further Information / Declaration

Are you legally entitled to work in New Zealand? *

As a NZ citizen
Permanent Resident
A holder of a current work permit

Have you been terminated or dismissed from a previous employer? *

Yes
No

If yes, please describe

Have you ever been convicted of a criminal offence (within the last seven years) or are awaiting a criminal court hearing? *

Yes
No

If yes, please describe

Do you give consent for Police Vetting/Criminal Records Checking? *

Yes
No

Do you hold a current driver's license (only required if necessary for the position)? *

Yes
No

By clicking 'Submit' I declare, that to the best of my knowledge, the information provided in the application and in my CV attached is accurate.

I understand that if any false information is given, or material suppressed, I will not be employed, or if I am employed, my employment may be immediately terminated.

I further understand that any offer of employment, if made, is conditional on my obtaining full medical clearance.

Verify that you are a human, please choose cherry

cherry

strawberry

lemon

pear

apple

About Us
History
Our Vision
Personal Stories
Careers
Governance
Publications
Warkworth Wellsford
简体中文 | 한국어

Our Services
Hospice Services
Care at Home
Inpatient Unit
Family Support
Referrals

Education & Resources
Health Professionals

Ways to Help
Ways to Donate
Fundraise
Events
Leave a Legacy
Volunteer
Latest News
Online Store

Volunteer
Elise Tillet Award
Volunteering
Volunteer Vacancies
Volunteer Training
Volunteer Stories
Survey Results

Hospice Shops
Locations & Hours
Donate Goods
Pickups & Deliveries
Shop Volunteers

Hospice North Shore is a registered charity
Charity No. CC22413

Privacy Policy | Terms & Conditions

7 Shea Terrace, Takapuna 0622
PO Box 33 1129, Takapuna 0740