Automotive Academy Application

Personal details

First name *

Last name *

Address *

Mobile phone number *

Landline/Secondary phone number *

Email address *

Are you entitled to work in New Zealand *

Yes

No

Do you have an NZ driver licence *

Yes

No

Other

Please specify your driver licence *

Full NZ Driver Licence

Restricted driver licence

Learner licence

Have you incurred any demerit points in the past few years? *

Yes - Under a year ago

Yes - Over 1 year ago

No

Do you have any current or pending criminal convictions? *

Yes

No

Please specify

Do you have any medical or physical conditions or disabilities that may prevent you from completing the course and/or working in an Auto Super Shoppe or Parts Distribution company? *

Yes

No

Please specify

About you

Please tell us what interests you have about a career in the Automotive Industry. Outline any specific interests you have, any experience you have already gained and what is your goal for your automotive future *

Emergency contact details

Primary contact full name *

Relationship to you *

Mobile phone number

Landline/phone number

Secondary contact full name

Relationship to you

Mobile phone number

Landline/phone number

Academic Background

Where did you attend High School? *

What is currently your highest level of study completed at High School? *

NCEA Level 1

NCEA Level 2

NCEA Level 3

Do you have any other qualifications? *

Yes

No

Please provide details (List of qualifications)

Finance and Accommodation

Will you require Finance and/or a personal loan for the course? *

Yes

No (The course will be paid in full prior to start date)

Unsure, to be confirmed

Will you require accommodation in Auckland for the duration and/or after study in Auckland? *

Yes

No

Will you require assistance in finding accommodation in Auckland for the duration and/or after study in Auckland? *

Yes

No

Please list in order of preference the locations you would most like to work in *

Please provide these additional documentations

Curriculum Vitae which includes:

NCEA qualifications
Details of any other Awards/Certificates/achievements
Details of any employment history
Reference from at least one Secondary School Dean or Teacher
Reference from employer (if applicable)
Character reference from a non-relative

Copy of New Zealand Driver License

Copy of New Zealand Birth Certificate or proof of New Zealand Residency or other proof of eligibility to work in New Zealand

I confirm that I have read and accept ASSAA Terms and Conditions *