Employment Service Online Application
About this service
This service is for people who need help finding employment due to ongoing health conditions or disability.
The service is free to use and is funded by the Ministry of Social Development.
We only collect the personal information necessary to complete the application process. You can read more about how we manage your information and privacy
here
.
If you need help completing this form or you have any questions you can contact us on 0580 858 858 or email us contact@workbridge.co.nz
Eligibility Check
Please Confirm Eligibility
You are currently living in New Zealand.
You are a New Zealand citizen or permanent resident.
You are aged between 16 to 64 years old inclusive.
You have a disability or health condition that is likely to impact on your ability to work for six (6) months or more.
Exceptions to Eligibility
You qualify for vocational rehabilitation from the Accident Compensation Corporation (ACC)
You are being provided vocational services by the Ministry of Health.
You are enrolled at a secondary school
If you don't meet these conditions, need help with the form, or are unsure if you might qualify, please contact our friendly team on:
Phone: 0508 858 858 (between 8:30am and 5:00 pm, Monday to Friday)
Email: contact@workbridge.co.nz
Personal Details
Nearest Workbridge branch to you?
Please select...
Auckland
Auckland - North Shore
Blenheim
Canterbury
Dunedin
Gisborne
Hawkes Bay
Nelson
Northland
Oamaru
Palmerston North
Rotorua/Taupo
Southland
Taranaki
Tauranga
Timaru
Waikato
Wellington
West Coast
Whanganui
Title
Please select...
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
First Name
Middle Name
Last Name
Email
Mobile
Birthdate
Gender
Please select...
Male
Female
Gender Diverse
Unknown
Street Address
Suburb or Town
City
Zip/Postal Code
Preferred Contact Method
Please select...
Email
SMS/Text
Mobile Phone
Other Phone
TTY
Via Agent
Residency Status
NZ Citizen
Permanent Resident of NZ
How did you find out about us?
Please select...
Facebook
Family or Friend
MSD/Work and Income
Other Workbridge Jobseeker
Workbridge Website
Other (specify other)
Disability Agency
Iwi Provider
Tertiary Provider
TicTok
Other Source
Status
Please select...
Unqualified
New
Working
Nurturing
Qualified