* Which job are you interested in?
Door to door
On the street
Community leaders
Any of the above

* Which area would you most like to work in?
Choose one Auckland Hamilton Hawkes Bay Tauranga Taranaki Palmerston North Wanganui Wellington Christchurch Dunedin None of the above

* Your full name:


* Your email address:


* Phone number:


Mobile phone:


* Postal address:


* Date of birth:
DD/MM/YYYY

Driver's licence?
................ YES NO

Are you a NZ citizen?
................. YES NO

If you are not a NZ citizen please give details of your work eligibility and visa status


Do you have any health problems that could affect your work?
* ............... YES NO
... if yes please provide details


Do you have any criminal convictions?
* .................. YES NO
.... if yes please provide details


What is your highest educational qualification?


What relevant skills and experience do you have?


Why do you want to work for Greenpeace?


When can you start?


How did you find out about this job?