Kerikeri Village

Application for Employment.

We invite you to provide information for the purpose of assessing your application and suitability for employment. The information in this application is requested in accordance with the Privacy Act 1993. If successful, such information shall form part of the Organisation’s personnel records. You are entitled to access this information upon request to the Manager. Information relating to unsuccessful applicants may be kept up to three months and then will be destroyed.

The completion of this form does not indicate that there is any obligation by Kerikeri Village Trust to engage you as an employee.

Start your application:

Contact Details

Education / Qualifications

Employment History - Employer Details

Application of skills / Work experience:


Please provide given names, addresses and telephone / mobile / fax numbers of three Referees (preferably from previous employers):
Referees should not be related to you by birth or marriage. Referees should be notified that they might be contacted


Have you ever had, or do you suffer from any of the following, If so give details


Have you had or ever been immunized against any of the following

Have you been tested for antibodies

Have you had or ever been immunized against any of the following