Employment Application Form

Employment Application
Are you applying for*

An advertised position?Casual work?Would like The Verandah to hold my details for when a position is available?
Position you are applying for
Position you wish to apply for
Full Name:*

First NameLast Name
Preferred Name
Birth Date

MonthDayYear
Phone Number:*
Format: (000) 000-0000.
E-mail Address:*
example@example.com
Current Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about the role?*

Walk-InEmployeeTrademeFacebookSeekOther (please specify)
Upload CV / Resume here*

Cancelof
Are You Legally entitled to work in New Zealand*

YesNo
Are you on a work or working holiday visa ?

YesNo
Full name on passport
Country of passport
Passport No.
Visa type
Please also provide us with a copy of the visa and ensure we can view the original visa/passport it was copied from.

Cancelof
References & Employment History

Please list two (2) references that are familiar with your work life.

Present or Most Recent Employer:
Company
Position Held
Main Duties
Hours worked per week
Reason for leaving
Reference 1
Name:*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Reference 2
Name:*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Do you have secondary employment?*

YesNo
If yes, please detail
GENERAL
When are you available to start work?*
Pay expectation *
Per Hour Rate
Are you prepared to work shifts if required to do so?

YesNo
Have you worked shifts before?

YesNo
Do you have a current NZ drivers license?*

YesNo
Licence type?*

LearnersRestrictedFull
Do you have any demerit points or endorsements?*

YesNo
Please detail
DECLARATION
I blanks* (full name) declare that to the best of my knowledge the answers in this application are correct and I understand that if any false or deliberately misleading information, or any material facts are suppressed, I will not be accepted, or if I am employed, my employment could be terminated.
Signature
Should be Empty: