Applying with us is very easy

Simply complete your personal details below, then answer our questionnaire which is specific to this vacancy. Your answers to the questionnaire will enable us to process your application faster. At the very bottom of this page please upload your resume and a covering letter or supporting documents if relevant. We accept files in PDF, .doc or .docx formats, under 2MB.


You are applying for the position:

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Application Form (All fields are required)

1. Advertising Avenue:
Where did you see this role advertised?

2. Ethnicity :
Please indicate the ethnic group you most identify with from the selection below. This information is gathered for statistical purposes only.

3. Qualification:
Are you a Registered Midwife with the Midwifery Council of New Zealand?

4. Annual Practising Certificate:
Do you have a current annual practising certificate?

5. APC:
Do you have any restrictions as per the back of your APC?

6. Driver's License:
Do you hold a current clean full driver's license?

7. New Zealand Residency:
Do you have permanent residency in New Zealand?

8. Working authority in New Zealand:
Are you legally authorised to work in New Zealand?

9. Subject of a Complaint:
Have you been the subject of a complaint to your professional body or the Health and Disability Commissioner? Please state either "No", or if "Yes", please give brief details:

10. Criminal Offences:
Have you ever been charged with or convicted of a criminal offence or released from prison?

11. Criminal Offences:
If "Yes", give brief details (or if "No" to the above question please enter "n/a" to this question):

12. Conditions that may affect personal ability:
Do you have any condition that may affect your ability to effectively carry out the functions and responsibilities of the position you are applying for. Please state either "No", or if "Yes", give brief details:

13. Declaration:
I declare that all the information given above is correct, and I give permission for my referees to be contacted. I understand that I may be required to supply originals of any relevant documents supporting this application.


File size limit: 2 MB. We accept .pdf, .doc and .docx.


File size limit: 2 MB. We accept .pdf, .doc and .docx.


Your upload file is over the size limit. Please try again.