Application for Employment
Your name (FirstName,LastName): [required] NZ Street Address: NZ City: Post Code: e-mail address: Date of Birth: Phone: IRD number: [eg XXX-XXX-XXX] I am a Citizen of: New Zealand Not a New Zealand Citizen I can work in NZ as: New Zealand citizen Working Permit Visitor/student permit Other Permit My work entitlement proof is: New Zealand birth certificate New Zealand passport (current) Valid working permit (current) I am a : Male Female I prefer to work : Packhouse (inside on hourly rate) Picking (outside-depends upon weather) No Preference Contact name/tel in case of illness: I am a student: Yes No Most Recent NZ Employment: Most Recent NZ Employer Name: Period Employed: Student less than one month. 1-6 months. 6-12 months. more than 1 year. Previous Experience: None. Harvest QC. Harvest Tractor. Harvest-Picker. Hydralada. Orchard Thinning Packhouse QC. Packhouse Grading/Packing. Packhouse Stack/Glue. Packhouse Forklift. Truck Driver. I have previously suffered from the following medical conditions: No Existing medical conditions. Skin infections. Back Strain/Injuries. Other Joint injury/strains. High Blood Pressure. Heart. complaint Other. More than one of the listed existing medical conditions. Workplace Injuries: No previous injuries. I have a previous workplace injury Other background history: I have been dismissed from a previous job. I have brought a grievance against an employer. I have been convicted of theft/drugs. More than one of the above. I have NOT been dismissed, bought a grievance, and have NO criminal convictions. I use illegal substances: Yes No Work Reliability: I can work Mon-Fri 8am-4-30pm. I can work Mon-Fri 8am-4-30pm AND Sat 8am-1pm. I can work in: DEC JAN FEB MAR APR MAY
OtherComments: Important Information: Important Notes: By submitting this application you: Acknowledge that evidence of entitlement to work in New Zealand will be required from both New Zealand citizens and non New Zealanders. Evidence of entitlement can be by passport, OR New Zealand birth certificate together with photo ID. Non New Zealanders must have a current working permit. (see https://www.bdmonline.dia.govt.nz/ for New Zealand Birth Certificates. Agree to work where and when as directed. Agree to provide your own transport to and from our orchard work sites. Will observe personal hygiene habits consistent with best practice food safety and are not currently suffering from any communicable disease or infection. Declare that this information is true and correct AND You acknowledge that this completed application does NOT constitute any offer of employment. ©CA Dames Ltd 2011-All rights reserved. Updated 17 Nov 2011 Thank you for your interest in working with us.Please be sure your email address has been entered correctly to ensure we can contact you.
OtherComments:
Important Information:
Important Notes: By submitting this application you:
Acknowledge that evidence of entitlement to work in New Zealand will be required from both New Zealand citizens and non New Zealanders. Evidence of entitlement can be by passport, OR New Zealand birth certificate together with photo ID. Non New Zealanders must have a current working permit. (see https://www.bdmonline.dia.govt.nz/ for New Zealand Birth Certificates.
Agree to work where and when as directed.
Agree to provide your own transport to and from our orchard work sites.
Will observe personal hygiene habits consistent with best practice food safety and are not currently suffering from any communicable disease or infection.
Declare that this information is true and correct AND
You acknowledge that this completed application does NOT constitute any offer of employment.
©CA Dames Ltd 2011-All rights reserved.
Updated 17 Nov 2011
Please be sure your email address has been entered correctly to ensure we can contact you.