The employer has asked for the following additional information to help them evaluate your application.*

IMPORTANT NOTE: The roles of Support Worker, Core Workers and Childrens Core Workers are subject to a higher threshold of risk assessment. Applicants for these roles must provide their last 5 years employment details on their CV.

IMPORTANT NOTE: The role of Support, Childrens Worker and Childrens Core Worker involves personal cares, shfit work, sleepovers and working alternative weekends as well as supporting the person out and about in the community.

Please note: All staff are expected to do sleepovers, work every second weekend and rostered shifts.

IMPORTANT NOTE: Support Workers, Core Workers and Core Childrens Workers need to be capable of physical lifting, using safety equipment, standing for prolonged periods, driving vehicles, and completing long shifts. Depending on the position held, activities can be physical, and may be carried out in a variety of scenarios.

IMPORTANT NOTE: The roles of Support Worker, Children’s Worker and Core Children’s Worker are subject to a higher threshold of risk assessment and therefore must clear the Police Vetting Process. If your qualifications and experience confirm suitability for the role, and information is received as a result of the Criminal Record/Police Vetting process, we will: discuss this information with you; seek your feedback as to how it might affect your suitability for the role; and incorporate that information into any risk assessment.

IMPORTANT NOTE: If you hold an overseas drivers license, you must apply for and obtain a full New Zealand drivers licence before you will be offered employment

IMPORTANT NOTE: You need to provide two references - one has to be your most recent Line Manager and the other a previous Line Manager. **YOUR REFERENCES WILL NOT BE CONTACTED WITHOUT YOUR PERMSISION**

I confirm that my answers in this application are true and correct and have been given freely and willingly. I consent to the MD Health Care seeking verbal or written information on a confidential basis about me from representatives of my previous employees and/or referees, and authorise the information sought to be released from the relevant authorities in relation to the work that I carried out, my character where appropriate and criminal/police visit. I have read and understood the information provided and am aware this will be made a part of my personal records that are held by The SILC Charitable Trust in accordance with the Privacy Act 2020 and any subsequent amendments. If required, I am prepared to undergo a health assessment by a designated health professional appointed by the SILC Charitable Trust, and that he/she may discuss specific concerns relating to my ability to carry out the role that I have applied for with my interviewing manager.

PLEASE NOTE: The completion of this form does not indicate that there is any obligation on the Company to engage the applicant