NZSA INITIAL ASSESSMENT NZSA INITIAL ASSESSMENT Your name* First Last MSD Client Number (if relevant) Date of Birth* DD slash MM slash YYYY Contact number* Mobile* Email* Postal address*Do you have a COA (Certificate of Approval) of any colour?* YES NO If so, what type? Please provide your COA license number (if known) Do you have a NZ Drivers’ License?* YES NO Please advise which type of Licence you hold:LearnerRestrictedFullDo you have your own reliable transport?* YES NO Are you prepared to work nights and weekends?* YES NO Are you able to work 12 hours shifts?* YES NO Do you have any medical issues that could prevent you from not being able to fulfil your job requirements?* YES NO If Yes, please provide more info below Criminal conviction declaration Do you have any criminal convictions?*As part of the COA application, there will be a criminal history check done by the Ministry of Justice and the Police. For us to proceed you must declare if you have had any criminal convictions, or if you have any pending or upcoming trials. (please state the year it happened, what it was for and the outcome) ****Please note: being dishonest would lead the NZSA to pull you off our programme and could lead to termination of your employment **** YES NO If Yes, please provide more info belowYOUR INSTRUCTIONS Please answer the following questions to the best of your ability. Please do not discuss your answers with anyone else. If you require any assistance or have any questions, please refer to the person who issued this to you. 1. Tell us a bit about yourself:*2. Why are you interested in joining the security industry?* 3. Describe this car:*4. Give a physical description of the person in the above photo:*5. In the security industry we use the 24-hour clock to state time. Using the 24-hour clock, how would you say 2:30 pm?* 6. Using the plan below, answer this question: A customer who is standing in the car park near the dry cleaners stops you and asks for directions to the rest room. Using the plan below, write the directions you would give the customer in the space below:*
