Employment

For position of tutor in

Date

Your Address

Number and Street

Floor or Building

City

Postcode

Relevant Qualifications / Experience

Recent Teaching / Tutoring Experience

Recent Employment

Employer

Position

Dates from and to

Liaison with other community groups

Tell us about “you” the tutor (include other areas of expertise)

Referees (at least two)

Referee #1

Referee's Name

Referee's Email

Referee's Phone/Mobile

Number & Street

Building or Floor

City

Referee #2

Referee's Name

Referee's Email

Referee's Phone/Mobile

Number & Street

Building or Floor

City

Please attach brief CV for our confidential information

Title and Brief Description of your proposed course

Personal Information

First Name

Last Name

Work Phone

Home or Mobile Phone

Do you have permanent residency in New Zealand

Yes No

If not, are you legally entitled to work in New Zealand?

Yes No

Do you have any criminal convictions or court action pending?

Yes No

Have you ever been charged with a crime, or are you currently being investigated?

Yes ↓ No

If Yes:

The declaration of an offence may not preclude your application from being considered. However, non-disclosure of relevant matters may be seen as misrepresentation and will be dealt with accordingly. If you are in doubt as to whether or not to declare something, please declare it. It is not necessary to declare parking fines or speeding tickets unless they resulted in a sentence of disqualification or otherwise.

Do you give us permission to carry out a police check?

Yes No

Tutor Application Form

Programmes and Workshops

CONTACT

WEBSITE

OFFICE HOURS