Note: The information obtained in this application will be used to evaluate candidates for specified positions with Fulton Swim School. When the decision to fill a vacancy has been made, all unsuccessful applicants forms shall be held as confidential records in case a suitable position arises in the future. Where successful, applicant's information becomes part of their personal file.
The applicant agrees to this use of information by completing this online application process.
Now, we are only taking applications for people who are 18 and over.
First Name *
Last Name *
Email Address *
Position Applied For *
Site Applied For * Select... Botany New Plymouth Patumahoe Puni Upper Hutt Papamoa
Phone Number (Primary) *
Phone Number (Alternative)
Maiden or any other name used
Sex * Select... Male Female Other
Date of Birth *
Place of Birth *
Residential Address *
Suburb *
City *
Current NZ Drivers Licence * Select... Yes No
Do you have any criminal convictions? (Including pending) Select... Yes No
If yes, please detail
Do you have children or other dependents for which you are responsible for?
Yes
No
Names and ages of children
Other dependents
Nationality *
If not NZ born, date of arrival
Evidence of citizenship Select... NZ Passport Permanent Residency Citizenship Work Permit
Please specify what days you are available to work *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please specify hours you are available *
Before 9am Weekdays
9am - 2:30pm Weekdays
2:30pm - 8:00pm Weekdays
9am - 5pm Saturday
9am - 5pm Sunday
Allergies - skin rashes, dermatitis, eczema, chemical intolerance *
Yes
No
Respitory, breathing or lung - hay fever, asthma, bronchitis *
Yes
No
Heart or circulatory - high blood pressure, heart attack, stroke, epilepsy, migraine or regular headaches, diabetes, TB *
Yes
No
Vision - colour blindness, difficulty identifying colours or shapes *
Yes
No
Hearing Impairment - use hearing aid, sensitivity *
Yes
No
Disability - limited or restricted movement, back strains, RSI/OOS *
Yes
No
Accident Disability - major limbs or back injury, hernia *
Yes
No
Depression or mental disorder *
Yes
No
Do you wear contact lenses or glasses? *
Yes
No
Do you smoke? *
Yes
No
Do you take regular medications (daily or weekly) *
Yes
No
Do you hold a current First Aid Certificate?
Yes
No
Have you or are you suffering from any work related injuries *
Yes
No
If yes, please detail
Detail any time off or benefits received from ACC claims in the last two years:
Do you have your own car? *
Yes
No
If no, what means of transport will you use?
Previous Employer *
Why did you leave previous employment? *
Where did you hear about this job?
Have you applied for a job with us before?
Yes
No
Please upload your CV and any other supporting documents
I hereby consent to the disclosure by the New Zealand Police of any information they may have persuant to this application, to FULTON SWIM SCHOOL. I understand that any record of criminal convictions I might have will automatically be concealed if I meet the eligibility criteria stipulated in Section 7 of the Criminal Records (Clean Slate) Act 2004.
Consent *
I agree
Submit Application