Are you awaiting sentencing/currently have charges pending? Yes No DECLARATION I declare that to the best of my knowledge, the answers to the questions asked here and all information submitted with my application are correct. It would be appreciated if you I understand that if any false information is given, or any material fact would also complete the suppressed, I may not be employed, or if I am employed, I may be attached sheet of EEO dismissed. I give consent to the Board or appointed advisor to contact my statistical information. That referees in relation to my application for this position. page will be detached from your application on receipt. Signature: Date: Queen’s High School APPLICATION FOR EMPLOYMENT STATISTICAL INFORMATION 1. How did you first find out this position is available? The information requested on Education Gazette this page is voluntary only. Someone told me/I knew from my workplace However, if you provide Web Site this information we would very Newspaper advertisement paper? – much appreciate it. Other please state – This sheet will be detached from your application prior to 2. Ethnicity the selection process. NZ Pakeha/European NZ of descent This information is used to Maori Pacific Nation monitor whether our methods Other, please state of advertising and supplying information to potential applicants are resulting in a 3. Gender 4. Date of Birth diverse range of applications Male Female ………../…………/………….. and whether our day year appointments are reflecting our aspirations to be an equal opportunity employer. 5. Do you have any disability or health related difficulty that has affected your employment or made access to Many thanks for answering employment or development difficult? these questions. If you have Yes If you have no objection, we would appreciate further any comments relating to the details EEO issues raised by this part of the application form, we welcome your feedback. No
Are you awaiting sentencing/currently have charges pending? Yes No It would be appreciated if you would also complete the attached sheet of EEO statistical information. That page will be detached from your application on receipt. DECLARATION I declare that to the best of my knowledge, the answers to the questions asked here and all information submitted with my application are correct. I understand that if any false information is given, or any material fact suppressed, I may not be employed, or if I am employed, I may be dismissed. I give consent to the Board or appointed advisor to contact my referees in relation to my application for this position. Signature: Date: Queen’s High School APPLICATION FOR EMPLOYMENT The information requested on this page is voluntary only. However, if you provide this information we would very much appreciate it. This sheet will be detached from your application prior to the selection process. This information is used to monitor whether our methods of advertising and supplying information to potential applicants are resulting in a diverse range of applications and whether our appointments are reflecting our aspirations to be an equal opportunity employer. Many thanks for answering these questions. If you have any comments relating to the EEO issues raised by this part of the application form, we welcome your feedback. STATISTICAL INFORMATION 1. How did you first find out this position is available? Education Gazette Someone told me/I knew from my workplace Web Site Newspaper advertisement – paper? Other – please state 2. Ethnicity NZ Pakeha/European NZ of descent Maori Pacific Nation Other, please state 3. Gender 4. Date of Birth Male Female ………../…………/………….. day year 5. Do you have any disability or health related difficulty that has affected your employment or made access to employment or development difficult? Yes If you have no objection, we would appreciate further details No
2018-Assistant-Principal.docx