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Health Job Application Form

Step 1 of 9

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Please provide your name*
First Last
Current Visa Status*
Role Applying for:*
Where did you receive your qualification?*
You may need to register as a nurse to work in New Zealand - please read more in the NZ Nursing Council website - CLICK HERE

Date of Birth*
MM slash DD slash YYYY
Email*
Phone*
What Nationality are you?*
What country do you currently live in?*

What country are you registered as a health professional in?*

List all that apply

Preferred NZ Location
Occupation*
What qualification do you have?*
How many years of Post Graduate work experience do you have in this occupation?*
Relevant level of qualification obtained?*
- Diploma
- BA
- BSc
- MA
- MSc
- Other
What is the qualification?*

Do you have a valid full car driver's license?*
Which country is your drives license valid in?*

Estimated time of arrival in NZ?
Do you have a partner?*
- Yes
- No
Partner's Name*
First Last
Required IF has a partner
Partner's Date of Birth*
MM slash DD slash YYYY
Partner's Occupation
How many years experience does you partner have in this occupation?
Partner's Key Qualifications?
Partner's Key Qualification Level?

What is your motivation for moving?*
Have you applied for jobs in New Zealand already?*
Please list all companies that you've applied to*
What role have you applied for?*
What recruitment company or employer is this with?*

Do you have any friends or family living in in New Zealand?*
- Yes
- No
What type of connections do you have in NZ?*
- Family
- Friends
- Work Colleague
Where do your friends and/or family live in New Zealand?*

Do you, or anyone intending to immigrate with you, have any medical conditions that may impact on your ability to work in and/or obtain a visa to New Zealand?*
Please provide details of medical conditions*
Any other information
Do you or anyone intending to immigrate to New Zealand with you have any criminal convictions?*
Please provide details of criminal convictions*
Any other information
Additional Comments you would like to make?

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