5.* I am a New Zealand Citizen or hold permanent New Zealand Residency and have provided verification of this:   Section B Professional Information – 6.* During my bonded service, I have worked in the following hard-to-staff community or communities (and they are verified on any certificate(s) of service that I have provided with this application form)1: Valley DHB1 Manukau DHB Hutt Counties Canterbury DHB1 Bay DHB1 South District DHB Northland DHB1 Region Waitemata Southland DHB DHB1 Whanganui Taranaki Coast DHB DHB West Wairarapa DHB Tairawhiti Dargaville & DHB Capital 1.Please to the terms and conditions with regard to moving between hard-to-staff communities for midwives. Yes No I intend to remain on the Scheme 1: 7.   2. Please note that this is an indication of your intention and does not affect your eligibility. Complete the section that applies to you as either a DHB midwife or an LMC midwife during your bonded service and supply all of the required information. If you have been employed as both a DHB and LMC midwife, complete both sections and supply all of the required information. DHB Employed Midwives Yes No 8. I have met the minimum full time equivalent (FTE) requirement of 0.6 for   the duration of my bonded service : 9. The certificate(s) of service from my employer(s) that I have provided outlines all breaks, parental leave and/or annual leave that I have taken   during the course of my bonded service: 10. Have you been employed as a locum for a period of six weeks or   more3? If yes, provide details below: Lead Maternity Carer (LMC) Midwives
5.* I am a New Zealand Citizen or hold permanent New Zealand Residency and have provided verification of this:   Section B – Professional Information 6.* During my bonded service, I have worked in the following hard-to-staff community or communities (and they are verified on any certificate(s) of service that I have provided with this application form)1: Hutt Valley DHB1 Counties Manukau DHB South Canterbury DHB1 Bay DHB1 District Northland DHB Waitemata DHB1 Southland Region Whanganui DHB Taranaki DHB1 West Coast DHB Wairarapa DHB Tairawhiti DHB Dargaville Capital & DHB 1.Please to the terms and conditions with regard to moving between hard-to-staff communities for midwives. Yes No 7. I intend to remain on the Scheme 1:   2. Please note that this is an indication of your intention and does not affect your eligibility. Complete the section that applies to you as either a DHB midwife or an LMC midwife during your bonded service and supply all of the required information. If you have been employed as both a DHB and LMC midwife, complete both sections and supply all of the required information. DHB Employed Midwives Yes No 8. I have met the minimum full time equivalent (FTE) requirement of 0.6 for the duration of my bonded service :   9. The certificate(s) of service from my employer(s) that I have provided outlines all breaks, parental leave and/or annual leave that I have taken during the course of my bonded service:   10. Have you been employed as a locum for a period of six weeks or more3?   If yes, provide details below: Lead Maternity Carer (LMC) Midwives