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APPLICATION FOR EMPLOYMENT

CONFIDENTIAL

  • This is Candida's application for employment form which you are requested to personally complete.
  • This application form is a source of information, which will be used by the Company to assist it in considering your suitability for the position for which you are applying. If successful, such information shall form part of the company’s personnel records. Failure to supply the information requested would prejudice the company’s ability to assess your suitability for the position.
  • You are entitled to access this information upon request to the Human Resources Manager who is company’s Privacy Officer, where the information is held.
  • The information relating to unsuccessful applicants shall be kept for a period of 6 months and thereafter shall be destroyed.
  • The completion of this form does not indicate that there is any obligation on the company to engage the applicant.
First Name *
Position Applied For *
PERSONAL INFORMATION
Family Name *
Given Names *
Are you known by any other name(s)
Contact Address
Email Address *
Telephone Number *
Are you legally entitled to work in New Zealand?
Legal_status *
EDUCATION
Name of Secondary School *
From *
To *
Qualifications Obtained *
Name of School
From
To
Qualifications Obtained
QUALIFICATIONS
Please list any qualifications/certificates/licenses held or courses attended
Other_Quals
Please attach any copies of preofessional, occupational, or trade qualifications that you have. (jpeg, png, or pdf. 5MB Max)
EMPLOYMENT HISTORY
Present or most recent employer
Company Name *
Address *
Position Held *
From *
To *
No. of hours worked per week *
Main Duties *
Reason for Leaving *
Next most recent employer
Company Name
Address
Position Held
From
To
No. of hours worked per week
Main Duties
Reason for Leaving
Next most recent employer
Company Name
Address
Position Held
From
To
No. of hours worked per week
Main Duties
Reason for Leaving
GENERAL
Are you prepared to work as and where directed? *
Are you prepared to work overtime if required? *
Have you ever been convicted of a criminal offence? *
If yes, please explain
Are you currently awaiting the hearing of any criminal charges? *
If yes, please explain
Are you prepared to abide by our Safety and In-house rules *
Do you have a spouse, partner, relative or household member working here or elsewhere in the industry? *
If yes, who/where?
Do you know any person currently employed by this Company? *
If yes, who?
Have you ever worked for this company before *
If yes, when?
Do you have any secondary employment *
If yes, please detail
Are you prepared to handle all products, materials or equipment used in the industry? *
Do you consent to any medical testing if applicable to the job? *
Have you had an injury or medical condition caused by gradual process, disease or infection – e.g. hearing loss, sensitivity to chemicals, repetitive strain? *
If yes, please detail
Have you ever suffered from a work injury requiring time off work? *
If yes, please detail
Do you have a medical condition or are taking any medication that may affect your ability to do your job? *
If yes, please detail
Do you have any additional information which you consider may assist your application?
REFEREES
A reference check will be carried out with the persons you nominate as your referees. Please indicated your acceptance of this by acknowledging the following statement
I consent to the company seeking verbal or written information about me from representatives for my previous employers and/or referees and authorise the information sought to be relased
Your Name *
Date *
Referee 1
Name *
Phone *
Company Name *
Occupation of Referee *
Referee 2
Name
Phone
Company Name
Occupation of Referee
Referee 3
Name
Phone
Company Name
Occupation of Referee
Availability
If your application is successful, when could you commence employment? *
DECLARATION
I declare that to the best of my knowledge the answers in this application are correct and I understand that if any false or deliberately misleading information is given, or any material fact suppressed, I will not be accepted,
or if I am employed, my employment will be terminated.
Please enter your full name *
Date *