03 339 2930

admin100@chrisruthcentre.co.nz

Employment Application Form

    Role

    Personal Details

    Current Work Situation

    Additional Information

    Work rights in New Zealand

    Conflict of interest

    Drivers licence

    Demerit points

    Criminal Convictions and Credit Check

    Whether you indicate you have had convictions on an application form depends on whether you are eligible to be “clean slated” Section 4 of the Criminal Records (Clean Slate) Act 2004 (external link).

    This Act allows you to conceal your convictions if you meet all of the following conditions:

    1. No convictions within the last seven years
    2. Never been sentenced to a custodial sentence eg imprisonment Corrective Training, borstal
    3. Never been ordered by a Court following a criminal case to be detained in a hospital due to your mental condition, instead of being sentenced
    4. Not been convicted of a “specified offence” (eg sexual offending against children and young people or the mentally impaired)
    5. Paid in full any fine, reparation, or costs ordered by the Court in a criminal case
    6. Never been indefinitely disqualified from driving.
    7. Find out more in section 7 of the Criminal Records (Clean Slate) Act 2004

      As part of our recruitment process, a preferred candidate’s offer of employment is conditional upon satisfactory pre-employment check of a:

      1. New Zealand Police Vetting criminal record check.
      2. Credit check where applicable as appropriate to the role.
      3. Qualifications check where applicable.

    Health and Safety

    The following information is required to ensure that the Chris Ruth Centre Trust meets it’s obligations under the Health and Safety at Work Act 2015, and the Accident Compensation Act 2001.

    ACC pre-employment check reports

    The Chris Ruth Centre Trust can request an ACC pre-employment check using MyACC (a self service online platform), if it is directly relevant to the role’s physical requirements and only with the applicant’s explicit consent.

    This check is directly linked to evaluating if an applicant can complete the job safely without worsening an existing injury. It is used for the physically demanding roles (e.g. Vocational Support Person, Team or Executive Leader).

    1. Data included in the report details accidental injury claims, the date of the incident, brief injury descriptions, and whether time off work was taken.
    2. Data excluded in the report by default, it completely omits sensitive claims, mental injuries resulting from physical trauma, declined claims, wilfully self-inflicted injuries, treatment injuries, or any incidents older than 10 years.
    3. The Chris Ruth Centre Trust cannot use health or injury history to discriminate unlawfully against a candidate unless a specific health condition stops an applicant from executing the role safely.

    4. Alternatively the Chris Ruth Centre Trust can ask the applicant to request a report direct from ACC and pass it to the Chris Ruth Centre Trust.

    Pre-employment medical examination/drug and/or alcohol test(s)

    Reference Checks

    *Referee 1

    *Referee 2

    Declaration

    1. I understand that all information provided by me will be held on a confidential basis and that my permission will be sought before any identifying personal details are released to a third party.
    2. I consent to the Chris Ruth Centre Trust undertaking referee/reference checks pursuant to my application for a specific employment position, and recognise that all enquiries will be conducted on a confidential basis, and that the Chris Ruth Centre Trust has the right to maintain confidentiality of this information.
    3. I understand that I may access personal information held about me by the Chris Ruth Centre Trust and request correction of that information. This access to the information excludes referee/reference checks undertaken by the Chris Ruth Centre Trust and all evaluative or opinion material complied for the purpose of assessing my suitability, eligibility and qualifications for employment.
    4. I declare that I have disclosed to the Chris Ruth Centre Trust all information, including but not limited to convictions, accidents, health conditions, diseases etc which will be used by the Chris Ruth Centre Trust to determine my suitability for a position with the Chris Ruth Centre Trust.
    5. I have declared to the Chris Ruth Centre Trust any formal disciplinary action taken against me by previous employers.
    6. I confirm that no employer has accused me of dishonesty or a breach of duties.
    7. I understand that if I am employed by the Chris Ruth Centre Trust, and if I have withheld any such information, my employment might be terminated for that reason alone.
    8. I declare that all information provided by me to the Chris Ruth Centre Trust (including content of my cover letter/CV/Resume) is true, accurate and up to date, and is not designed to mislead in any way.
    9. *By ticking the box below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview could result in termination of my employment.

      *By ticking the box I agree that this constitutes my electronic signature.

    Before submitting your application

    You will need to upload the following documents to support your application:

    1. *Cover letter

    2. *CV/Resume

    3. Drivers licence – front and back (photo ID)

    4. Other Photo ID

    5. Visa letter and associated document(s) {if applicable}

    6. Proof of qualification

    Thank you for your application. If you have any issues please Email Us and we will be in touch in due course in regards to your application.