1) VACANCY DETAILS Vacancy Number R4HQ-2018 Position Planning & Intelligence Officer 2) NAME Title First Names Surname 3) EMAIL & PHONE Email Address Numbers Home: Daytime: Mobile: 4) ADDRESS 5) CURRENT POSITION DETAILS (INTERNAL ONLY) Position Name Location Internal applicants, go directly section 12 External applicants, please complete the following sections. 6) ARE YOU LEGALLY ENTITLED TO PERMANENTLY WORK IN NEW ZEALAND? Yes No 7) HAVE YOU APPLIED TO WORK FOR FIRE AND EMERGENCY NEW ZEALAND IN THE PAST? Yes If yes, please provide full details. No 8) HOW DID YOU HEAR ABOUT THIS ROLE? 9) MEDICAL HISTORY In line with Fire and Emergency New Zealand obligations under the Health and Safety at Work Act 2015, and the Applicant’s obligations under the Contractual Remedies Act 1979, it is permissible for us to ask questions regarding an applicant’s health status relevant to the position applied for. Do you currently have or have you previously had any injury or medical condition which would impact on your ability to work in the position you are applying for, or which the tasks of this job may aggravate or contribute to, or for which you are receiving compensation? Yes If yes, please provide full details No
1) VACANCY DETAILS Vacancy Number R4HQ-2018 Position Planning & Intelligence Officer 2) NAME Title First Names Surname 3) EMAIL & PHONE Email Address Numbers Home: Daytime: Mobile: 4) ADDRESS 5) CURRENT POSITION DETAILS (INTERNAL ONLY) Position Name Location Internal applicants, go directly section 12 External applicants, please complete the following sections. 6) ARE YOU LEGALLY ENTITLED TO PERMANENTLY WORK IN NEW ZEALAND? Yes No 7) HAVE YOU APPLIED TO WORK FOR FIRE AND EMERGENCY NEW ZEALAND IN THE PAST? Yes No If yes, please provide full details. 8) HOW DID YOU HEAR ABOUT THIS ROLE? 9) MEDICAL HISTORY In line with Fire and Emergency New Zealand obligations under the Health and Safety at Work Act 2015, and the Applicant’s obligations under the Contractual Remedies Act 1979, it is permissible for us to ask questions regarding an applicant’s health status relevant to the position applied for. Do you currently have or have you previously had any injury or medical condition which would impact on your ability to work in the position you are applying for, or which the tasks of this job may aggravate or contribute to, or for which you are receiving compensation? Yes No If yes, please provide full details
160-2018-application-form-PIO-June2019.docx