You are applying for the position:

Receptionist / Home Visit Co-ordinator | Nelson, New Zealand


Application Form (All fields are required)

1. Residency:
Are you currently legally entitled to work in New Zealand?

2. Residency:
Please indicate your current residency status

3. Advertising Avenue:
Where did you hear about this position?

4. Current / Previous Employee:
Are you currently or have you previously been employed by Healthscope NZ Ltd or any of its subsidiary companies?

5. Current / Previous Employee:
If yes please detail where, what position and dates. If you answered no to question 1, simply write NA here.

6. Drivers Licence?:
Do you hold a current valid Drivers Licence?

7. Employment:
Would this position be your sole employment?

8. Holidays:
Do you have any time off or holidays planned over the next 6 months?

9. Part time employment:
Can you briefly explain why part time suits you and in particular the hours 0600 - 1230?

10. Availability:
How soon would you be available to commence employment?

11. Health:
Are you allergic to or do you have any sensitivty to any substances or chemicals? If yes, please detail

12. Health:
Do you have any health related issues which may impact on your ability to perform the tasks of the position you are applying for?

13. Health:
Have you in the past or do you now suffer from conditions that might contribute to a gradual process injury (OOS)?

14. Criminal Convictions:
Do you have any present criminal convictions, not including any concealed under the Clean Slate Act?

15. Criminal Convictions:
Are you awaiting the hearing of charges in a civil or criminal court of law?

16. Disciplinary Action :
Have you ever had professional disciplinary action initiated against you?

17. Experience:
Do you have any previous experience in a medical environment?

18. Experience:
Do you have previous experience working in any of the following?

19. Previous Knowledge:
Do you have previous knowledge or experience in the following?

20. Computer Systems:
Which programs are you proficient on?


File size limit: 4 MB

(cover letter, selection criteria etc) File size limit: 4 MB


Your upload file is over the size limit. Please try again.