Wingspan | Counselling services employment application

First Name*

Last Name*

Address Line 1*

Address Line 2

Suburb

City*

State / Province / Region

ZIP / Postal Code*

Country*

Email*

Day Time Phone *

Evening Phone: *

May we contract you during the day? *

Yes

Are you a New Zealand citizen or permanent resident? *

Yes

If you are not a NZ citizen or permanent resident, do you have a current New Zealand work permit? *

Yes

My work permit application is currently being progressed

Have you ever been convicted of a criminal offence, had a protection order made against you, had a professional complaint upheld, or do you have any criminal or professional charges or enquiries pending? *

Yes

Do you have any condition that may affect your ability to do the job? *

Yes

State your professional memberships (if applicable).

Upload CV (PDF / Word Doc only - maximum file size is 3MB)

Max file upload size is 3MB

Employment Application