New Kiwis Career Success Programme

Candidate Information Sheet

PERSONAL DETAILS:
Name:

______________________________________________________________________

Address: _______________________________________________________________________
Email:

______________________________________________________________________

Phone:

____________________________

Mobile: ________________________________

DOB:

____________________________

MALE / FEMALE (Please circle)

Country of Origin: ______________________________________________________________

Ethnicity: ______________________________________________________________________
Languages Spoken: _____________________________________________________________
Please note: this course is delivered entirely in English and involves some group
activities. Therefore your English comprehension and communication skills need to
be at a level suitable to this environment.
What is your residential status? (You will be asked to bring your passport to the first day of
training to be photocopied for verification purposes)
New Zealand citizen: Passport number: ________________________________
Permanent resident: Visa number ____________________________________
Non- resident with work permit: Visa number ___________________________
Type of visa: ______________________________________________________
Other (please give details): ___________________________________________
Date arrived in New Zealand: _____________________________________________
How long have you been in New Zealand? (Please tick or fill the box)
Under 1 year
1 2 years
3 or more years
EDUCATION:
Highest Qualification: ___________________________________________________________
Institute: ______________________________________________________________________
Completed: Yes or No (please circle)

Year: __________________________________

EMPLOYMENT HISTORY:
Current Employment: (If Any) ___________________________________________________
Previous Employment (industries):
_______________________________________________________________________________
_______________________________________________________________________________
What Occupation/Employment are you looking for: (Roles/positions)
_______________________________________________________________________________
_______________________________________________________________________________

What (if anything) has stopped you from achieving your goals in New Zealand?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
What do you hope to gain from the New Kiwi Career Success Programme?
______________________________________________________________________________
______________________________________________________________________________
_______________________________________________________________________________
How did you hear about the New Kiwi Career Success programme?
______________________________________________________________________________
______________________________________________________________________________
_______________________________________________________________________________
Please complete this form and email it as soon as possible to secure your place on the
programme. If you have any questions or concerns about completing this form, please
contact Annette Sanghavi on (09) 302 9930
OFFICE USE ONLY:
Notes:
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