Which job are you interested in?               Door outreach Street Frontliner Please choose one
Would you prefer part time of full time?   Part time Full time Please choose one
Name:
Email:
Phone Number:
Mobile:
Postal Address:
Date of Birth:
Drivers License?	................ YES NO
NZ Citizen?	................. YES NO
... if no, you must have an existing work visa.
Do you have any health problems that could affect your work?	............... YES NO
...if yes please give details
Prior criminal convictions?	YES NO .................. if yes please explain -
Highest Educational Qualification:
Relevant Skills and Experience:
Why do you want to work for Greenpeace?
Why do you think you would be good at this job?
When could you start?
How did you find out about this job?