Mornington School Permanent Teacher 2021 Senior Teaching Team Yr 4-6
Thank you for applying for the position with our school.

1. Please fully complete this form personally, answering all questions.

2. If successful in your application, you will be required to provide originals as proof of your qualifications.

3. If you are selected for an interview, you may bring whanau/support people at your own expense. Please advise if this is your intention.

4. Failure to complete this application form and answer all questions truthfully may result in any offer of employment being withdrawn or appointment being terminated if any information is later found to be false.

5. It is a requirement in the Education Sector for all teaching employees be registered teachers.

6. In terms of a criminal conviction, the Criminal Records (Clean Slate) Act 2004 provides certain convictions do not have to be disclosed providing:
• You have not committed any offence within 7 (consecutive) years of being sentenced for the offence and
• You did not serve a custodial sentence at any time (this would exclude serious offences such as murder, manslaughter, rape and causing serious bodily harm) and
• The offence was not a specified offence (specified offences are in the main sexual in nature) and
• You have paid any fine or costs

Custodial sentences include a sentence of preventive detention and corrective training. Non-custodial sentences include fines, reparation orders, community-based sentences and suspended sentences. Please note that you are not obliged to disclose convictions if you are an eligible individual but can do so if you wish. If you are uncertain as to whether you are eligible contact the Ministry of Justice.

7. This application form and supporting documents will be held by the school. You may access it in accordance with the provisions of the Privacy Act 1993.

If you have any queries, please contact the person cited in the advertisement.

To successfully submit an application for this position you must complete this mandatory form in full.
Name *
Full Postal Address *
Mobile Number *
Landline Number
Work Number
NZ Resident *
If No, do you have resident status and /or work visa
Email Address *
NZ Registration Number *
NZ Registration Status *
Have you ever had a criminal conviction? (Convictions that fall under the clean slate scheme do not have to be disclosed) *
If Yes, please detail.
Are there any other factors that we should know to assess your suitability for appointment and ability to do the job? *
If Yes, please detail
Have you had any injury or medical condition caused by gradual process, disease or infection, such as occupational overuse syndrome, stress or repetitive strain injuries, which the tasks of this job may aggravate or contribute to? *
If Yes, please detail
Do you have a current New Zealand drivers license? *
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