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: Afghanistan Algeria American Samoa Argentina Australia Austria Belarus Belgium Bermuda Bolivia Bosnia and Herzegovina Brazil Bulgaria Cambodia Canada Cayman Islands Chile China Colombia Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Egypt El Salvador Falkland Islands (Malvinas) Fiji Finland France French Polynesia Germany Gibraltar Greece Greenland Honduras Hong Kong Hungary Iceland India Indonesia Ireland Isle of Man Israel Italy Jamaica Japan Kenya Korea, Democratic People's Republic of Korea, Republic of Kuwait Lebanon Luxembourg Macedonia, The Former Yugoslav Republic of Malaysia Maldives Mexico Mongolia Mozambique Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Norfolk Island Norway Pakistan Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Samoa San Marino Sao Tome and Principe Saudi Arabia Serbia Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sweden Switzerland Taiwan, Province of China Thailand Tonga Trinidad and Tobago Turkey Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other 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. ©Dames Ltd 2015-All rights reserved. Updated 04 Feb 2015 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.
©Dames Ltd 2015-All rights reserved.
Updated 04 Feb 2015
Please be sure your email address has been entered correctly to ensure we can contact you.