Corrections (NZ) - Application Form Preview

This is a preview of the Application Form only. To apply online close this window and access the Application Form using the 'Start new Application Form' link. You may wish to print this preview out prior to applying online to ensure that you have all the correct information at hand.

Personal Details

* Denotes a mandatory question

Title *

First Name *

Last Name *

Preferred Name:

Postal Address:

Suburb:

Town/City:

Region:

Postcode:
(Please click here if you do not know your postcode) *

Country: *

Daytime Contact Number: *

Mobile Contact Number:

DoC Employment

* Denotes a mandatory question

Are you a current employee of the Department of Corrections? *

Are you a current employee of the Department of Corrections? Yes No

Are you a previous employee of the Department of Corrections?

Are you a previous employee of the Department of Corrections? Yes No

Please provide further details:

	Start Date	Finish Date	Position Title	Service Group/Location
1
2
3

Note: Your personal file may be accessed during the selection process

Have you recently applied for, or are currently applying for a position(s) in other locations? *

Have you recently applied for, or are currently applying for a position(s) in other locations? Yes No

Please provide details (incl. Vacancy Numbers if possible) and specify where you would prefer to be placed: *

If we have vacancies in other locations would you like your application to be considered elsewhere? *

If we have vacancies in other locations would you like your application to be considered elsewhere? Yes No

What location do you prefer? *

Do you have a current and valid NZ drivers licence? *

Do you have a current and valid NZ drivers licence? Yes No

Do you have, or ever had, a medical or health condition, injury or illness or any other condition that may aggravate , contribute to or affect your ability to carry out the requirements of the job? *

Do you have, or ever had, a medical or health condition, injury or illness or any other condition that may aggravate , contribute to or affect your ability to carry out the requirements of the job? Yes No

Please provide details of the condition and how it is likey to affect your performance: *

Citizenship & Criminal Convictions

* Denotes a mandatory question

Are you a NZ or Australian Citizen? *

Are you a NZ or Australian Citizen? Yes No

Do you have Residency Status? *

Do you have Residency Status? Yes No

Do you have a Work Permit? *

Do you have a Work Permit? Yes No

Type of Work Permit: *

Work Permit Expirt Date: *

Please provide details of your Work Permit Conditions: *

Are you in the process of obtaining either Residency or a Work Permit? *

Are you in the process of obtaining either Residency or a Work Permit? Yes No

Please specify your type of Visa:

Visa Expiry Date:

Please be advised that to be eligible for a position with the Department of Corrections
you need to be a New Zealand Citizen, Permanent Resident, hold a current Working
Permit or be in the process of obtaining one.

Exceptional circumstances may be considered.

Have you ever been convicted of any offence against the law? *

Have you ever been convicted of any offence against the law? Yes No

Please provide details:
(Note: If unsure of Day of offence, use the 1st of the Month)

	Date	Offence	Sentence
1
2
3
4
5

Do you have any Criminal Charges pending or under investigation? *

Do you have any Criminal Charges pending or under investigation? Yes No

Please provide further details: *

Under the Criminal Records (Clean Slate) Act 2004, you must disclose all convictions when applying for a Probation Officer or Corrections Officer position.

For further information please click here.

Important note: The Criminal Records (Clean Slate) Act 2004 determines the information you need to provide for this question.

Applicants for jobs as Corrections Officers, Probations Officers and related positions

Under the Criminal Records (Clean Slate) Act you must declare all your criminal convictions if you are applying for the following positions: Corrections Officer, Senior Corrections Officer, Principal Corrections Officer, Unit Manager, Prison Manager, CIE Instructor, Probation Officer, Senior Probation Officer, Service Manager, Senior Community Work Supervisor or Community Work Supervisor. Please note that you must also declare convictions for which you received name suppression(Note: You do not need to declare minor traffic offences, such as Parking Infringements. However, you must declare drink driving offences)

Applicants for other positions

If the position you are applying for is not one of the ones listed above, and you meet the eligibility criteria under the Criminal Records (Clean Slate) Act 2004 to with hold past convictions you may answer the above question by stating that you have no criminal record. If you do not meet the eligibility criteria you are required to disclose your criminal conviction details. Please read the information contained in the “Process for Recruitment” document about eligibility criteria to help you determine how to answer this question. If you are unsure please seek advice

(Note: You do not need to declare minor traffic offences, such as Parking Infringements. However, you must declare drink driving offences).

Referee's & Declaration

* Denotes a mandatory question

Referee Details

	Full Name	Relationship to Applicant	Address Information	Contact Number
Referee 1
Referee 2

Please provide full names and contact details of two referees who would be able to support your application. Preferably one of these should be from your current or previous employment. Close family members do not count as referees. If you do NOT supply referee's at this time you will be required to prior to Interview.

I give permission for my referees to be contacted. I understand that by selecting "Yes" it constitutes as my electronic signature. *

I give permission for my referees to be contacted. I understand that by selecting "Yes" it constitutes as my electronic signature. Yes No

Upload your resume. *

Please upload your Cover Letter:

Please upload any additional documentation.

(Note: Please do not upload any large files or files with pictures. Max size 3MB)

Do you wish to be considered for other vacancies within the Department of Corrections other than this opportunity? *

Do you wish to be considered for other vacancies within the Department of Corrections other than this opportunity? Yes No

I have truthfully completed all sections of this application form and have provided information that is accurate and complete to the best of my knowledge. *

I have truthfully completed all sections of this application form and have provided information that is accurate and complete to the best of my knowledge. Yes No

I understand that providing misleading information or omitting any information that may be relevant to my suitability for the job may mean I can be disqualified from appointment, or if appointed, my employment may be terminated. *

I also understand that when deciding whether to employ me, the Department will be relying on the truth and accuracy and completeness of the information I have provided. This means, if the information turns out to be not true or accurate or complete, I could be disqualified from appointment, or if I have already been appointed, my employment could be terminated. Other legal remedies may also be available to the Department in that case, including legal action under the Contractual Remedies Act 1979. *

Signature

I understand that by selecting "Yes" it will constitute an electronic signature. *

Signature I understand that by selecting "Yes" it will constitute an electronic signature. Yes

Please tick the option indicating how you first found out about this Vacancy:

Please specify which Daily:

Please specify which Local/Weekly: