Application form Select the position you are applying for*Select a vacancyPart-time Teaching Opportunity for Qualified ESOL teacher – KerikeriPersonal DetailsFull Legal Name* First Last Address* Street Address Address Line 2 City ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Contact phone/mobile*Email* Availability to start work:*Desired Hourly Rate Range:*How did you hear about this position?*TrademeSeekFacebookWebsiteWord of mouthHave you ever worked for ELPNZ?*YesNoWhich ELP centre did you work for?*Dates of employment*Do you have a current clean Drivers Licence?*YesNoPlease provide details*Work EligibilityAre you a citizen of New Zealand or Australia, or have Permanent Residency?*YesNoIf NO do you hold a valid work visa?**YesNoSORRY - YOU MUST HAVE A VALID WORK VISA TO APPLY FOR THIS POSITION Work visa type/category*Expiry date**Please note that you will be required to provide evidence of your eligibility if you are shortlisted for an interview. You agree to allow us to confirm this information with Immigration New Zealand using VisaView. Teaching InformationDo you have a language teaching qualification (CELTA or equivalent)?*YesNoPlease provide details*Do you have teaching experience?*YesNoTick all that apply: ESOL Primary Secondary Tertiary Other Vocational/Adult/Literacy Education New Zealand Teaching Experience Overseas Teaching Experience How many years teaching experience do you have?<2 years2-9 years10+ yearsGeneral InformationWhy do you want to work for English Language Partners New Zealand?*What interests you about the position that you have applied for?*What experience have you had in dealing with people from cultures other than your own?*Security CheckHave you ever been convicted of a criminal offence (not excluded by the Clean Slate Act 2004) and/or do you have any criminal charges pending in New Zealand or any other country?*YesNoPlease provide details*Please note that you will be required to complete a Police Vetting Form if you are successful in your application. Conflict of interestDo you have any (potential) conflict of interests or have any other matters to declare that may impact on your role with ELPNZ?*YesNoPlease provide details*Workplace WellbeingEnglish Language Partners have a proactive health and safety approach to identify and manage hazards and to promote health and safety at work. We need to ensure that you have an understanding of the demands associated with working for English Language Partners. Your responses to this section will not disqualify you from possible employment. The operational aspects of the work require: - Strong work management/ organisation. - Meeting important deadlines with accuracy and reliability. - Driving own vehicle for interviews, networking and matching. - Refer to the position description for responsibilities Do you feel able to effectively and safely carry out the functions and responsibilities of the position applied for?*YesNoPlease provide details*Do you presently suffer, or have you suffered in the past, from any injury, medical or physical condition (including OOS or gradual process injury) that may affect your ability to perform the functions and responsibilities of the position?*YesNoPlease briefly describe the injury/health condition below*Applicants wishing to have whanau or supporters present at interviews, or who have any particular needs in the interview setting (perhaps because of a disability) are asked to advise English Language Partners prior to the interview so arrangements can be made. Referee InformationPlease identify three referees who are willing to be contacted for professional/ personal comments. If you are applying from the workforce two referees should be previous employers and ideally line managers. English Language Partners will not contact referees without your prior permission.Referee 1:Name*Company/Organisation*Relationship to applicant*Referee phone*Referee emailReferee 2:Name*Company/Organisation*Relationship to applicant*Referee phone*Referee emailReferee 3:Name*Company/Organisation*Relationship to applicant*Referee phone*Referee emailDeclarationFull Legal Name* First Last Date* Date Format: MM slash DD slash YYYY The information you have provided will be protected. Personal information is required only for the purpose of assessing your application and will be retained, used and disclosed only in accordance with the Privacy Act. I certify that the information provided is true and correct. I understand that if I have given incorrect or misleading information or if I have omitted any important information, I may be disqualified from appointment, or if appointed, be liable to be dismissed. Upload Cover Letter:Please ensure your full name and the words "cover letter" are contained in the file name.Upload Cover Letter*Accepted file types: doc, docx, pdf.Upload CV:Please ensure your full name and the word "CV" are contained in the file name.Upload CV*Accepted file types: doc, docx, pdf.