Please complete this application form

	CONTACT DETAILS Surname First name Other names Preferred name   Email Address Mobile Address during term: Address Line 1 Suburb/Town City Postcode Phone Home address: Address Line 1 Suburb/Town City Postcode Phone   WHAT DO YOU WANT TO DO? Applying for junkPlease select oneSummer internGraduate position   Preferred Division   Audit & Assurance   Business Advisory   Taxation   Preferred Office   Auckland   Christchurch   Hamilton   Hawkes Bay   New Plymouth   Tauranga
	YOUR EDUCATION Degrees studying for Degrees held University studying at  Date you anticipate completing your degree Will you complete the requirement for Provisional Membership of NZICA by end of 2008?              junkNoYes   YOUR REFEREES Please list referees. At least one of them should be related to employment, if possible.     Primary Referee Name Contact Phone Relationship     Secondary Referee Name Contact Phone Relationship
	TELL US ABOUT YOU  What do you like to do outside of university and study? What would be an example of a goal or task you have had which has presented the most obstacles for you? What was the biggest decision you made in the past year? Describe how you arrived at this decision.
	THE OFFICIAL STUFF Are there any health conditions you have now or had in the past, that may affect your ability to do this job, or may need the firm to support you? junkYesNo If yes, please provide details: Do you have any criminal convictions or pending criminal charges against you involving anything other than minor summary offences (such as traffic prosecutions)?   junkYesNo If yes, please provide full details, including dates and any sentence imposed:   Are you legally entitled to work in New Zealand?        junkNoYes Are you a New Zealand citizen or permanent resident?        junkNoYes Please upload your cover letter (must be in Microsoft Office or Adobe PDF format): Please upload your Academic Record (must be in Microsoft Office or Adobe PDF format): If you do not have a copy of your Academic Record please note it in your Resume.  You will be required to produce a certified copy or an original if you are interviewed. Please upload your Resume (must be in Microsoft Office or Adobe PDF format): Your resume must show your secondary school subjects, grades and work experience.
	YOUR DECLARATION The information provided in this form is correct to the best of my knowledge. I agree to Staples Rodway retaining this application for future reference. I confirm that Staples Rodway may contact referees I provide in this form and obtain information from them relevant to my application.

APPLICATIONS CLOSE 28 MARCH 2008