• Individialised disability care and support

Main body content information for the online Employment application form for My Place Aotearoa website.

Expression of Interest

Welcome to the My Place Aotearoa Electronic Application Form. The form available on this page has been provided for your convenience to be filled out online to assist in the processing of your application.

Instructions for completing an electronic application form:

  • Enter the information requested into the appropriate spaces on the form. Please answer all questions. * Indicates a required field.
  • A resume can be attached and forwarded when submitting your form application by using the "Browse" button to locate the resume document on your computer hard drive. Only documents with the following extensions will be accepted for upload: pdf, doc, rtf, xls and txt.
  • Review the information you entered for accuracy.
  • Press the "Submit Application" button at the end of the form.

Employment application form

Personal Details

Where did you hear about My Place Aotearoa?

Do you have?



Position sought

Preferred Hours:



This information has been collected for the sole purpose of assessing the prospective employee’s suitability for vacancies that my arise within My Place Aotearoa from time to time. It will not be shared or sent to any third parties and the information provided will be retained within the system for a maximum of 28 days while your application is considered.