CAG709

APPLICATION FOR ENLISTMENT

NEW ZEALAND CADET ADVOCATE GENERAL CORPS
INSTRUCTIONS: This application must be completed by the Applicant and must be done in his/her own handwriting
It must be completed in either blue or blac! in! On completion" this Application must be either scanned or #orwarded to
n$cagauc!land%gmailcom
MINIMUM ENTRY REQUIREMENTS:
&ou must be at least '( years o# age be#ore ma!ing Application into the Cadet Ad)ocate *eneral Corps
&ou must hold Citi$enship in one o# the #ollowing countries: the United States" Canada" United +ingdom"
Australia" or New ,ealand
&ou must ha)e NC-A .e)el ' or e/ui)alent
0e medically #it #or ser)ice
SECTION 1: Applic!" I!#$%&"i$!
Name
Address
1ate o# 0irth
-thnicity
Telephone
SECTION ': C%((% )i*"$%+ (3 Most recent only)
Name o# Organisation:
&ears 2#rom3 2to3
1uties:
Reason #or lea)ing
CAG709
Name o# Organisation:
&ears 2#rom3 2to3
1uties:
Reason #or lea)ing
Name o# Organisation:
&ears 2#rom3 2to3
1uties:
Reason #or lea)ing
SECTION ,: R(#(%((-*
4lease pro)ide at least 5 re#erees who can )ouch #or your character These cannot be #amily
members They could be #riends or your direct super)isers
Re#eree (
Name6666666666666666666666666666666
Relationship to you 6666666666666666666666666
Contact66666666666666666
Re#eree '
Name6666666666666666666666666666666
Relationship to you 6666666666666666666666666
Contact66666666666666666
Re#eree 5
Name6666666666666666666666666666666
Relationship to you 6666666666666666666666666
Contact66666666666666666
CAG709
SECTION .: CRIMINAL )ISTORY
The N, Cadet Ad)ocate *eneral Corps ensures that its sta## are o# the utmost character and
intergrityThere#ore" those applicants with a criminal history will be accepted into the CA*
on a case by case basis It is against CA* Regulations to ma!e a #alse statement in relation
to your criminal history or #ail to declare a !nown o##ence
( 7a)e you e)er been con)icted o# a criminal o##ence8
&-S / NO
' I# &-S" please e9plain:
5 7a)e you e)er been con)icted o# an o##ence against the law in New ,ealand or
internationally in the past ' years8
&-S / NO
: I# &-S" please e9plain:
SECTION /: Mili"%+ 0 P$lic( S(%1ic(
7a)e you e)er ser)ed in a military or police #orce in New ,ealand or o)erseas8
&-S / NO
I# &-S" please detail:
CAG709
SECTION 2: M(3icl I!#$%&"i$!
Throughout the Corps" physical #itness is important and maintained at a high le)el &ou need
to be #it to do your ;ob well
Un#ortunately some medical conditions do preclude you #rom ser)ice" such as degenerati)e
diseases" disabilities and conditions that re/uire regular medication
To apply #or the N,CA* you are re/uired to be #ully medically #it #or ser)ice As enlisted
members o# the N,CA* you may #ind yoursel# in situations which are physically and
mentally challenging at home and o)erseas
AST7<A
In general" those with an asthma tendency are not considered #it #or operational ser)ice nor"
there#ore" #or general ser)ice This is because training and ser)ice in the Corps re/uires
people to underta!e acti)ities that pose a high ris! o# pro)o!ing asthma such as )igorous
e9ercise" #ire #ighting" dust and other irritants" and e9posure to changes in temperature I#
you wish to pursue ser)ice in the CA* Corps it will be necessary #or your asthma to be
completely controlled
7-I*7T AN1 0UI.1
In general" your height should be between (=5 > (?5 cm" weight @ ('=!g and 0<I (A>5:
4lease detail below any medical conditions or disabilitys you may ha)e:
It is against N,CA* regulations to ma!e a #alse statement" or #ail to declare any !nown and
e9sisting medical condition you may ha)e in this application
CAG709
SECTION 7: DECLARATION
I" 6666666666666666666666666 ha)e personally #illed out this CA*BC? application #orm I
declare that the in#ormation contained in this application is correct and true to the best o# my
!nowledge" and am aware that any declaration or statement #ound to be #alse or omitted is
statutory grounds #or discontinuing my application
Name: 666666666666666666666666666666
Signature: 666666666666666666666666666666666661ate: 666666666666666666
CAG STAFF ONLY
Application recei)ed on 66666666666666666 at 666666666666666hrs
O##icer: 666666666666666666
Ran!: 66666666666666666666
Signature : 666666666666666666666666666666666