EMPLOYMENT APPLICATION FORM

Please select one
Date *
Date
CONTACT DETAILS
Name *
Name
Name most commonly used
Give details
CONTACT PHONE NUMBERS
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Are you legally entitled to work in New Zealand? *
Proof of eligibility required (EG. Birth Certificate, Passport)
Please select one
Do you have a current driver’s licence? *
Do you have any demerit points? *
Have you ever been dismissed by an employer? *
Have you been convicted of a criminal offence? *
(You may answer no if you meet the eligibility criteria of the Criminal Records Clean Slate Act 2004)
Are you awaiting the hearing of civil or criminal charges? *
(If subsequently convicted you must advise the Company)
Do you have any health or other known conditions which may affect your ability to carry out the responsibilities of this position? *
Are you presently receiving medical treatment and/or medication? *
Have you had any ACC claims in the last five years? *
Are you currently employed? *
QUALIFICATIONS
EMPLOYMENT RECORD
(Please complete the following section unless you have submitted a CV/Resume)
Please provide details of employer and position:
REFEREES
Please provide the names and contact numbers for two referees that can be contacted (preferably from where you have worked and not family members):
OTHER INFORMATION
Consent to Retain Information: Should you not be offered employment at this time do you request that Montana Food and Events retains this application and supporting documentation for up to six months should any other suitable position become available? *
DECLARATION
I certify that the answers I have provided to the questions in this application form are true and complete to the best of my knowledge. This also applies to the information contained in any supporting documents I have provided. I understand that if any information is false or misleading or material fact is suppressed I will not be employed or if discovered after my employment, will result in the termination of my employment. Any false information in relation to my medical history may result in my loss of entitlement for any compensation from ACC. *
I consent to Montana Food and Events seeking verbal or written information about me from the referees I have nominated and authorise the information required to be released. *
I understand that the information collected is for the purpose of assessing my suitability for employment with the Company and the Company is under no obligation to offer me employment. *
Evidence of Entitlement to work in New Zealand will be required from Both New Zealand Citizens and non- New Zealanders during the recruitment stage *