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.

* Please advise which type of IoD membership you hold.

If you are a member. please provide your IoD membership number.

If you are not an IoD member do you intend joining should you be successfully appointed to a board as a Future Director?No

* Gender

* Age Range

* We are committed to improving diversity in the boardroom and having a diverse talent pool will help us achieve this goal. Please indicate which ethnic group/s you identify with.

* Languages spoken (other than English). Please list as many as you like.

* What regions are you available to travel to for board meetings?

* Select the sectors where you have at least executive or management experience and you are confident you would add value to a board.

SKILLS

* Please select the skills that reflect your experience

* How would you describe your current main role? (select all that apply)

* What would you most like to gain from being a Future Director?

* How did you hear about the Future Directors programme? (Choose one or more)

* I have read and agree to the Terms and Conditions of the Future Directors programme (see https://www.iod.org.nz/future-directors-terms-and-conditions)

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 a Host Board they must be disclosed to the IoD at that time.

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?

* 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 you answer YES to any of these question, please provide details:

* 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.

DECLARATION

* By submitting your registration for you agree to the Future Directors Terms and Conditions.

I have read and agreed to Institute of Directors Future Directors Programme Terms and Conditions.

Click here to review the Future Directors programme terms and conditions

PRIVACY

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