Employment

Application For Employment

Please read through the form before filling out the application

Applying for Position *

First Name *

Last Name *

Date of Birth *

Current Address *

City *

Region *

Post Code *

Country Name *

E-mail ID *

Phone Number *

Yes

Are you a New Zealand Resident? *

If no, what visa do you currently hold?

Yes

Do you have a New Zealand IRD number? *

Yes

Are you currently employed? *

If yes, who with?

If no, who was your previous employer?

None

Hospitals

Domestic

Commercial

Industrial

Schools

Other

What cleaning experience do you have? *

If Other, please specify

Yes, New Zealand licence

Yes, International licence

Other

Do you have a driver's licence? *

If Other, please specify

Friend / Relative

Internet

Notice Board

Newspaper

Accommodation

Other

How did you hear about this position? *

If Other, please specify

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please check any days you CANNOT work: *

Yes

Are you prepared to work on public holidays if required? *

Yes

Are you prepared to handle all products, materials or equipment used in the industry? *

If No, please state a reason

My own car

Carpool

Motorcycle

Cycle

Public Transport

Walk

Other

What transport arrangements do you have to attend your place of employment? *

If Other, please specify

Yes

Are you a smoker? *

Yes

If yes, are you prepared to adhere to all site smoke policies? *

If no, provide reason

Yes

Do you have any medical conditions that may affect your ability to carry out the tasks of this job? *

If yes, please provide details

Yes

Are you on any prescribed medication? *

If yes, please provide details

Yes

Have you been convicted of a criminal offence in the last 5 years? *

Yes

Are you awaiting the hearing of a charge in civil or criminal court? *

Please list your previous employment
(Employer, location, position, reason for leaving, etc.)

Please provide at least two references from your previous employment
(Name, phone, email, position, postal/business address)

Yes

Do you have a spouse, partner, relative or household-member working here, or elsewhere in the industry? *

If yes, who? And where do they work?

If your application is accepted, when could you commence employment?

Upload Resume *

Yes

All Applicants will need to submit a non-positive drug test at your own expense before you are made a Job Offer. We are registered approved urine sample collectors and testers and can do this on site for $30.00 or you can have it done at any of the local medical centres. Do you agree to this? *

Yes

Do you consent to the Company retaining the information contained in this application form for the purposes of considering your suitability for any other position which may arise with this company in the future? *

Yes

I declare that to the best of my knowledge the information in this application form and the information contained in any resume provided is 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. *