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* Indicates required question
What branch are you applying for?
*
Albany
Penrose
Hamilton
Required
What job position are you applying for?
*
Driver
Labourer
Office / Admin
Other:
Required
Drivers License
*
No License
Learners
Restricted
Class 1
Class 2
Class 3
Class 4
Class 5
Personal Information
Title
*
Mr.
Mrs.
Miss.
Ms.
Other:
Required
Name
*
Your answer
Address
*
Your answer
Contact Number
*
Your answer
Email
*
Your answer
Residential Status
Are you a New Zealand Citizen?
*
Yes
No
Required
If no, do you have a work visa?
Yes
No
Employment History
Company Name
*
Your answer
Position Held / Main Duties
*
Your answer
General Information
Please answer the following questions with Yes or No
Are you prepared to work weekends if required?
*
Yes
No
Required
Are you prepared to work extra hours if required?
*
Yes
No
Required
Are you prepared to handle all products, material or equipment to carry out the job?
*
Yes
No
Required
Do you have your own transport?
*
Yes
No
Required
Have you been convicted of a criminal offense?
*
Yes
No
Required
Health and Safety
Will you pass a pre-employment drug test?
*
Yes
No
Required
Have you had a serious injury over the last 12 months that has required time off?
*
Yes
No
Required
Additional Information
Please write any additional information that you like to add to this application:
*
Your answer
Date Application was Completed
*
MM
/
DD
/
YYYY
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