Application

Please complete all sections of this application.

When submitting this online application, you must also email an electronic copy (in either ‘Word’, ‘pdf’ or ‘tif’ formats) of your current CV. Your CV should include:

details of your current employer, position and responsibilities;
details of previous employers, dates of employment, positions held and reasons for leaving;
relevant educational qualifications details and years they were attained;
copies of transcripts of your academic qualifications, including grades awarded;
relevant professional or business membership details;
voluntary experience or other skills to support your application; and
names of referees (at least 2, including your current employer).

NB: Certified copies or originals of academic qualifications will be required before any appointment offer can be confirmed.

APPLICATION DETAILS
'Position' applied for:
Office applied for:
Date available to start:
PERSONAL DETAILS
Surname:
First name(s):
Preferred name:
Contact postal address:
Email address:
Day telephone:
Mob/home telephone:
ENTITLEMENT TO WORK IN NEW ZEALAND
Are you a New Zealand Citizen?	Yes No
If no, what is your residential status?
If you are not a New Zealand Citizen, are you legally entitled to work in New Zealand?	Yes No
If yes, please state:	Work visa No: Work Visa Expiry Date: Any Work Restrictions:
EDUCATION/SKILLS
Highest qualification:
Name of institute:
Can you touch type?	Yes No
If yes, what is your approximate typing speed (wpm)?
Other training/certificates/ qualifications:
CRIMINAL
Have you ever been convicted of any criminal offence, or do you have any criminal charges pending? (Minor traffic offences, such as parking or speeding can be excluded.)	Yes No
If yes, please list each conviction (and the sentence imposed) or pending charge.
PROFESSIONAL RECORD
Do you hold a current NZLS Practising Certificate or NZILE Membership Certificate (as the case may be)?	Yes No
If no, what date did your last such certificate expire?
If you are a solicitor of the High Court of New Zealand, what is your admission date?
As a legal professional, have you been the subject of any NZ or overseas Law Society complaints or do you have complaints pending?	Yes No
If yes, please provide full details of all such complaints / litigation, or pending complaints / litigation, the date(s) of the complaint and the outcome(s)
MEDICAL
In the last 12 months, have you:
Been away from work or studies for more than 5 days as result of an accident?	Yes No
Been away from work or studies for more than 5 days as a result of sickness?	Yes No
Had any gradual process disease, such as OOS (occupational overuse syndrome), or are you undergoing any medical treatment that could affect your ability to do the Position?	Yes No
Have you, at any time, been diagnosed with, or treated for, any medical condition (including any stress related illness) or any injury that would affect your ability to perform the full range of tasks required of the Position, or which may require particular steps to be taken to safeguard your health at work?	Yes No
If you have answered yes to any of the above questions, please give details.
Do you require any special services or facilities to carry out the duties relating to the Position?	Yes No
If yes, please specify:
PRIVACY ACT STATEMENT
The information which you supply on this application, along with your CV and supporting documents, is solely used to assess your suitability for a position with LEGAL PLANiT. If successful, the information you provide will be held in LEGAL PLANiT’s personnel files. Information on unsuccessful candidates will be destroyed as soon as the information is no longer required for the purposes of making an appointment. You have the right to view your personnel information held by LEGAL PLANiT, and may request any necessary correction.
DECLARATION
In submitting this application: I agree to LEGAL PLANiT* retaining this application for future reference.* I consent to LEGAL PLANiT* contacting any referees named by me to obtain from them information about me in connection with this application.* I consent to LEGAL PLANiT* communicating and obtaining information about me from the academic institutions referred to in this application or in my CV in order to confirm my qualifications.* I consent to LEGAL PLANiT communicating and obtaining information about me from any relevant organisation (such as the New Zealand Law Society, the New Zealand Institute of Legal Executives Inc or the relevant overseas law society) to confirm my professional record as detailed in this application. I acknowledge that the written comments and assessments on my suitability, interview notes, referee comments and psychological assessment comments will be deemed evaluative and therefore confidential to LEGAL PLANiT. I declare that the statements made in this application and the attached CV are true and complete, and that I am not aware of any conditions or situations not stated in this application which affect my ability to carry out the functions and responsibilities of the Position. I understand that, if I have provided false information or omitted any material fact, I may not be considered for the Position or, if appointed to the Position, that this may lead to the termination of my appointment. I also understand that, if I have provided false information in the medical portion of this application, this may result in my loss of entitlement for any compensation from ACC as well as possible termination of my appointment.