(All fields are required)
1. Advertising Avenue:
Where did you see this role advertised?
Which best describes your residency status?
Tell us why you are seeking a new job
Please indicate which type of job(s) you are seeking
5. Start date/Notice Period:
Please provide details of your preferred start date or notice period
6. Pre-Employment Screening:
Do you consent to a formal criminal record check via the Ministry of Justice if it is a prerequisite for employment?
7. Pre-employment Screening:
Please provide brief details of any criminal convictions (not including any concealed under the Clean Slate Act)
8. Pre-employment Screening:
Please provide details of any charges pending that you waiting the hearing of in a court of law.
9. Fitness for Work:
If shortlisted or appointed, you may be required to complete a medical questionnaire and/or under go medical and drug testing. Do you consent to this?
10. Fitness for Work:
Do you have any condition that may impact upon your ability to effectively or repetitively complete the tasks and responsibilities outlined in the job you are expressing an interest in? If yes, we will discuss details of this condition(s) in more detail.
11. Hours of Work:
Please outline your preferred hours and days of work.
12. Hours of Work:
Are you available to work weekends?
13. Salary Expectations:
Please indicate your hourly rate expectations (excluding allowances)
14. Labouring Experience:
How many years experience do you have?
Please specify which qualifications or training you have received to date
Please provide a brief outline of the type of work or projects you have been working on
Do you have reliable transport to and from work?
18. Best Fit:
Tell us why you are the best person for our Client to employ
19. Previous Employment References:
Should you be requested to attend an interview with one of our Clients, we may undertake a short reference check with a recent employer. Contact will not be made with any referees without your prior permission. Can you please provide details of at least 2 referees that would be able to be describe your work performance and the way you work with others?
20. Previous Employment References:
For the purpose of compliance with the Privacy Act 1993, do you consent to Stapleton Consulting and the Client, seeking verbal or written information on a confidential basis about you, from the referees listed; and authorise the information sought to be released by them to us for the purposes of ascertaining your suitability for the position you are applying for?
21. Previous Employment References:
Do you understand that the information received by us is supplied in confidence as evaluative material, and will not be disclosed to you?
22. Candidate Declaration:
I declare that to the best of my knowledge the answers and information I have provided to the questions in this application form are correct and I understand that if any false or deliberately misleading information is given or any fact is suppressed, I will not be accepted for employment. If such information or fact is discovered after I have been employed, my employer may consider taking disciplinary action up to and including summary dismissal. I also understand that any false information given in relation to my medical history may result in my loss of entitlement to any compensation from ACC.