Relieving Application - Dunedin Kindergartens

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Home>Relieving Application

Relieving Applicationsiteadmin2018-08-15T23:59:17+12:00

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Relieving with Dunedin Kindergartens Expression of Interest.
In completing this form, you are providing the background information required to progress to an interview. It is a requirement that applicants hold an NZQA-recognised ECE diploma or degree
Full name*
First Last
Previous name/s
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact phone*
Email*
Ethnicity*

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Teacher Registration Details.
Original documents will be required at interview, and will be certified by our Senior Teacher.
Registration Category*
Registration Number
Expiry Date*

Day
Month
Year
Are you a NZ citizen or permanent resident?*
- Yes
- No
Do you hold a valid work permit?*
- Yes
- No
Academic Qualifications:*
- B.Ed Teaching ECE
- B.Ed Teaching Primary
- NZFKU Diploma
- ECE Diploma
- Graduate/Post Graduate Diploma ECE
- Other e.g Masters
We will need to sight original documents and can be certified by our Senior Teachers.
ECE Qualification Date*

Day
Month
Year

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Employment History.
We will require confirmation from employers of the number of hours you were employed to establish service recognition for salary.

Graduates, please list postings.
Position
Employer
Start Date

Day
Month
Year
End Date

Day
Month
Year
Status
- Permanent
- Relieving
Reason for leaving
Add Position Two
- Yes
- No
Position
Employer
Start Date

Day
Month
Year
End Date

Day
Month
Year
Reason for leaving
Status
- Permanent
- Relieving
Add Position Three
- Yes
- No
Position
Employer
Start Date

Day
Month
Year
End Date

Day
Month
Year
Reason for leaving
Status
- Permanent
- Relieving
Add Position Four
- Yes
- No
Position
Employer
Start Date

Day
Month
Year
End Date

Day
Month
Year
Reason for leaving
Status
- Permanent
- Relieving

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Availability
Indicate days available*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Please indicate availability*
- Short-term (less than six weeks)
- Long-term (more than six weeks)
- Lunch-cover (two hours)
- Holiday Programme (two weeks during term breaks)
Are there any periods you are not available?

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Health and Safety

Security
Have you ever been convicted of any offence against the law (apart from minor traffic conditions)*
- Yes
- No
Are you awaiting hearing on any charges for any other offences?*
- Yes
- No
Are their any matters for which you are currently under investigation which may call into question whether you meet the Teaching Council’s ‘good character and fit to be a teacher’ criteria?*
- Yes
- No
Have you ever been dismissed from a teaching position?*
- Yes
- No
Please provide details for the above.
Health
Do you have any disabilities, injury or medical conditions which may prevent or restrict you from performing any aspect of the job for which you are applying?*
- Yes
- No
Please provide details
Do you have any disabilities or medical conditions which may require specific accommodation by the employer or other staff to enable you to perform the job for which you are applying?*
- Yes
- No
Please provide details
Do you have any disabilities or medical conditions which may have an impact on the health and safety of yourself, other employees, the children or parents attending the place of work?*
- Yes
- No
Please provide details

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Referees.

Referees cannot be related to the applicant or to the applicant's extended family.

These two referees should be in the teaching profession and able to comment on your teaching practice. A current or prior manager or supervisor is preferable
I hereby authorise Dunedin Kindergartens to contact the following individuals to act as my referees for the purposes of my application for the above position; as required under section 29 of the Privacy Act 1993.*
- I Agree
Name
Current Position
Relationship
Service
Contact Phone
Email Address
Name
Current Position
Relationship
Service
Contact Phone
Email Address
Personal Information Disclosure Authority
I hereby authorise the collection of personal information from named referees, any current or previous employer, training establishment, other agency or individual, for the purpose of determining my suitability for the kindergarten position for which I am applying, without further reference to me. I authorise DK to disclose such personal information as is necessary for the same purpose.*
- I Agree
Please specify below any agency or individual to whom you do not wish an approach to be made in relation to this application

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If you proceed to interview you will need to bring:
- Original teacher registration documents
- Originals of qualifications, including first aid certificate if you hold one
- Proof of identification - two forms of original identification. One must be from category A below, the second from category B
- Documents to support periods employed by previous employers
- Tax code and IRD number
- Bank account details for salary payment
Category A
- Current New Zealand Passport
- A New Zealand Certificate of Identity issued under the Passports Act 1992 to Non-New Zealand citizens who cannot obtain a passport from their country of origin
- New Zealand certificate of Identity (issued to people who have refugee status)
- New Zealand Refugee Travel Document
- Emergency Travel Document
- New Zealand Firearms License
- Overseas Passport (with New Zealand Immigration Visa/Permit)
- New Zealand Full Birth Certificate issued after 1998
- New Zealand Citizenship Certificate
Category B
- New Zealand Driver’s Licence
- 18+ Card (must be current)
- Community Services Card
- Super Gold Card
- Veteran Super Gold Card
- Inland Revenue Number
- Electoral Roll Records
- New Zealand issued utility bill, issued not more than 6 months earlier.
Your authority is required in accordance with the provisions of the Privacy Act 1993. I certify that to the best of my knowledge all information provided in this application is true and correct.*
- I Agree

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ABOUT US

We are a non-profit community based organisation governed by an elected Board.

We belong to New Zealand Kindergartens, a national organisation with whom we network and share expertise.

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81 Forbury Road,
Dunedin 9012

03 455 8892

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