Application Form

Employment Application

Thank you for applying for a job at Chetwins. Please fill out the form below, accurately indicating your potential and suitability to the job vacancy.

Position Applied for

First Name

Last Name

Phone Number

Address

Upload CV:

Which best describes your current right to work in New Zealand? You may be required to provide evidence.

If you are a visa holder, please indicate the conditions of your visa:

If you are a temporary work visa holder, please indicate the relevant expiry date:

Notice Period / Available Start Date - if application is successful:

Pay Expectations:

Most Recent Employer:

Address

Role

Start of Employment

Duration of Employment

Reason for Leaving

Previous Employer 2

Address

Role

Start of Employment

Duration of Employment

Reason for Leaving

Previous Employer 3

Address

Role

Start of Employment

Duration of Employment

Reason for Leaving

Describe your skills

Driver's Licence Classes and Endorsements

Qualifications & Training

Do you request to be notified before your referees are contacted?

No, you may contact them immediately Yes, please wait for my confirmation

Reference 1

First Name

Last Name

Phone Number

Company

Years Known

Reference Type

If Other, Please Indicate Reference Type Here:

Reference 2

First Name

Last Name

Phone Number

Years Known

Company

Reference Type

If Other, Please Indicate Reference Type Here

Reference 3

First Name

Last Name

Phone Number

Company

Reference Type

If Other, Please Indicate Reference Type Here

Do you have any health conditions that may impact your ability to carry out the work of the position applied for?

Have you been convicted of any criminal offence in a New Zealand Court, including fines, except for convictions that may be protected under the Clean Slate Act?

I understand the company may request a pre-employment drug test and that I may be subjected to a voluntary drug and/or alcohol test at any time thereafter in accordance with the company’s health and safety policy. I also understand that a positive result without just cause may result in my employment being terminated.

I confirm the above details are correct and authorize the company to make any such enquiries of me as they see fit in this application for employment; and thereafter during the course of any employment that may be offered by the company.

I understand that this information will be held by the company in accordance with the Privacy Act 1993 and that I have the right to access my personal information at any time and request that any incorrect information be amended.

I understand that any false or misleading information or material fact suppressed may result in my employment being terminated.

Do you have any questions or further comments?