Thursday, 20 June 2013

Application form
Application Form

Fields marked with a * are required.


 (include area code, no gaps between numbers please)

 (no gaps between numbers please)

Word document or pdf file please.

Please note that you are only required to disclose information as per the Criminal Records (Clean Slate) Act




If yes, provide details

If yes, please provide detail.

  1. To the best of my knowledge, the answers in this application and attachments are correct;
  2. I understand that if any false or deliberately misleading information is given, or any material fact suppressed, my application will be denied or if I am employed, my employment will be terminated;
  3. Any false information given in relation to my medical history may result in my loss of entitlement for any compensation from ACC or my Employer’s workplace accident insurer;
  4. The information collected is for the sole purpose of assessing my suitability for employment at Sport Waikato.



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