Application Form
(All fields are required)
1. Advertising Avenue:
How did you find about about this position?
2. Residency :
Which best describes your Residency Status?
3. Working in New Zealand:
Are you legally entitled to work in New Zealand?
4. Academic Record:
Have you had a minimum of four years secondary school with NCEA passes in Maths and English?
5. Physical Requirements of Position:
Are you physically fit?
6. Working in Confined Spaces:
Are you comfortable working in confined spaces?
7. Education & Skills History:
Is your education and skills history covered in your CV?
8. Employment History:
Is your employment history covered in your CV?
9. Employment History:
Have you ever worked for this Company or an associated company before?
10. Referees:
Are your referees covered in your CV?
11. Standby Roster:
Are you prepared to undertake standby roster duties once you are fully qualified and deemed competent?
12. Availability:
If your application is successful when can you commence employment?
13. Overtime:
Are you prepared to work overtime if required?
14. Criminal History:
Have you been convicted of a criminal offence?
15. Criminal History:
Are you awaiting the hearing of charges in a civil or criminal court of law?
16. Materials, Products and Equipment:
Are you prepared to handle all products, materials or equipment used in the industry?
17. Drivers Licence:
Do you have a current unrestricted manual drivers licence?
18. Referee Consent:
If you are successful in gaining an interview, do you consent to the Company seeking verbal or written information on a confidential basis about you from representatives of your previous employers/referees?
19. Information Consent:
Do you authorise the information sought from your previous employers and/or referees to be released by them to the Company for the purpose of ascertaining your suitability for the position you are applying for?
20. Confidentiality Consent:
Do you understand that the information received by the Company is supplied in confidence as evaluative material and will not be disclosed to you?
21. Medical & Police Check Consent:
I understand that any offer of employment, if made, is conditional on my obtaining a full medical clearance (inclusive of drug and alcohol testing) through the Company's pre-employment medical and satisfactory results of a Police Check.
22. Declaration (1):
I declare that to the best of my knowledge the information supplied is correct. I understand that if any false or deliberately misleading information is given, I will not be accepted, or if I am employed, my employment will be terminated.
23. Declaration (2):
I accept any false information in my medical history may affect my entitlement for any ACC compensation. A full medical clearance (inclusive of drug and alcohol testing) along with a satisfactory Police Check will be required.
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