You are applying for the position:

Medical Laboratory Technicians / Scientists | Mt Wellington, 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. Availability:
How soon would you be available to commence employment?

10. Availability:
Are you able to work rostered weekends and shifts?

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 or are you on any regular medication which may impact on your ability to perform the tasks of the position you are applying for? Please provide brief details.

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. Registration:
Are you registered with the Medical Science Council of NZ?

18. Annual Practicing Certificate:
Do you have a current APC?

19. Qualification:
Are you a qualified Medical Laboratory Scientist or Technician

20. Experience:
How many years experience do you possess working as a Medical Laboratory Scientist or Technician?

21. Skills and Experience:
Please tick if you have experience in the following:


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