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Title
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Full Name
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Address (include City)
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Landline Number
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Mobile Number
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Email
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Do you have a Current Drivers Licence?
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Yes
No
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Licence Number
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Conditions of Licence (If Any)
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Licence Class and Expiry Date
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Are there any restrictions on you taking up work in New Zealand?
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Yes
No
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If yes, please provide details
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Education History - Secondary Schools and Qualifications Gained
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Education History - Tertiary Schools and Qualifications Gained
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Education History - Other Training and Qualifications Gained
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Please note any professional bodies you are a member of or are registered with.
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Please note any other employment you would continue with if you were to be successful in obtaining this position.
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Please note the names and addresses of two persons from whom we may obtain both character and work experience references. Include name, address, ph number and in what capacity they provide a reference (i.e. manager, education)
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Please note your leisure interests, sports and hobbies, other pastimes etc.
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Please note any criminal convictions. If none, please state. In certain circumstances, contracts are dependent upon obtaining a satisfactory Police vetting check and/or children’s worker safety check.
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Please detail here your reasons for this application, your main achievements to date and strengths you would bring to this role. Specifically, please detail how your knowledge, skills and experiences meet the requirements of this role (as summarised in the position/job advertisement).
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Please detail here any teaching and/or public speaking experience you have
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General comments
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Do you have a dog that would be suitable to use in training programmes? (All dogs must be temperament tested before being used in any programmes)
Select
Yes
No
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Dogs name
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Dogs Age
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Please detail here any training classes your dog has attended and behaviours they can reliably perform (sit, down, stay…)
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I confirm that the above information is complete and correct and that any untrue or misleading information will give Kids Safe With Dogs Charitable Trust the right to terminate any contract offered. I agree that should I be successful in this application, I will, if required consent to a Police vetting check and/or children’s worker safety check. I understand that should I fail to do so, or should the check not be to the satisfaction of Kids Safe With Dogs Charitable Trust, any offer of a contract may be withdrawn, or my contract terminated.
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Address
Register
Message Sent.
Kids Safe With Dogs Charitable Trust (CC54127)
Contact Us
0508 DOG SAFE
09 969 3007
kids@dogsafeworkplace.com
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