Institute of Directors

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PERSONAL DETAILS

* First Name

* Last Name

* E-mail Address

Phone

* Mobile

* Street Address

* Suburb

* State

* Postcode

* Please upload a copy of your latest Resume

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WORK ELIGIBILITY

* Are you either a New Zealand or Australian citizen or a permanent resident of New Zealand?

>If No

Do you have a current New Zealand work permit?

If yes, please advise expiry date and any conditions associated with your visa.

SKILLS

* Please select the skills that reflect your experience

DECLARATION

HEALTH

* Do you have any condition, illness, injury, or disability that could reasonably be expected to affect your ability to carry out the work of the position you are applying for?

If yes, please provide details, including what support you might need

DISCLOSURE OF INTERESTS

* I understand that if I, or my immediate family, have any interests that may conflict with the interests of the Institute of Directors (IoD) they must be disclosed to the IoD at this time.

* I confirm that I, or my immediate family, have no interests which may conflict with the interests of the IoD.

Please specify the details of the interests you wish to disclose

CRIMINAL HISTORY

* Do you have any criminal convictions [not including any concealed under the Criminal Records (Clean Slate) Act 2004 e.g. convictions over 7 years old not resulting in a custodial sentence etc]? Please note: Any offers of employment will be conditional on completion of a Ministry of Justice/Criminal history check with satisfactory results

* Have you been convicted of any offence against the law in New Zealand or elsewhere other than minor traffic offences?

If yes, please provide details

* Do you have any criminal charges pending in New Zealand or elsewhere other than minor traffic offences?

* Have you been discharged without conviction or used diversion?

If yes, please provide details

How did you hear about this opportunity?

* I certify that the information I have provided is correct and that any incorrect, misleading or omitted information may impact my future employment with the IoD

Please ensure you have attached a current resume.

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