Kinross Application for Employment
1 - Position applied for
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2 - Available for
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Full time
Part time
Casual
3 - Please tick days available
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
4 - Full Name
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5 - Preferred name
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6 - Address
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7 - E-mail
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example@example.com
8 - Phone Number
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9 - Do you have a current NZ driver’s licence?
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Yes
No
10 - Do you have a car to get to work?
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Yes
No
11 - Are you legally entitled to work in New Zealand?
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Yes
No
12 - On the basis of:
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Work visa
NZ Citizen
NZ Resident
Other
13 - Describe your visa type (working holiday, AEWV, essential skills, partnership).
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If you are not on visa , put "NO"
14 - What is your visa expiry?
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If you are not on visa , put "NO"
15 - If AEWV, please confirm the Role and ANZSCO code or If on a Working Holiday Visa, does your visa have any conditions such as a maximum term with one employer? Please give details.
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If you are not on visa , put "NO" . Copy of a work visa or evidence of authority to work in New Zealand will be requested.
16 - Do you consent to an online visa view check? (We do require a copy of your passport to complete this)
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Yes
No
17 - Qualifications Held (Certificates to be supplied if employment successful)
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If you don`t have it , put "NO"
18 - Do you have an LCQ qualification?
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Yes
No
19 - Do you have a first aid certificate? If yes, what is the expiry?
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If you don`t have it , put "NO"
20 - Do you have a current General Manager’s certificate for the purposes of the Sale and Supply of Alcohol Act? If yes, what is the expiry?
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If you don`t have it , put "NO"
21 - Have you ever suffered any type of personal injury caused by a work-related gradual process, disease, or infection?
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Yes
No
22 - Have you ever had any condition, which is likely to contribute to a work-related gradual process injury, disease, or infection?
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Yes
No
23 - Have you ever had any serious illness, operation or accident, or condition that could hamper your work in this position? Yes ? No ? If yes , please specify
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If you don`t have it , put "NO"
24 - Have you been charged with any offences in the last 5 years? If ‘yes’, please provide details:
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If you don`t have it , put "NO"
25 - Do you have any legal proceedings pending? If ‘yes’, please provide details:
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If you don`t have it , put "NO"
26 - Have you ever been declined certification as a Crowd Controller (Door Security), ‘Key Person’ status (Gambling Act) or a General Manager Certificate (Sale and Supply of Alcohol Act)?
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Yes
No
27 - Do you consent to a NZ Police check? Only applicable if you have been living in NZ for more than 3 months
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Yes
No
28 - Please supply the names and telephone numbers of at least two referees. Please provide last employer and at least one previous employer, in addition to any other references you wish to provide.
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29 - BY SUBMITTING THIS FORM I CERTIFY that the above information, as well as all details and information supplied to Kinross in my cover letter, application and resume are true and correct and authorise investigation of all information contained herein for the purpose of ascertaining my suitability for employment, including conducting credit and criminal record checks through the appropriate authorities and contacting referees and previous employers. I understand that if I have given false or misleading information or if I have left out any important information, I may not be considered for appointment. If I am appointed before any inaccuracies on this form are discovered, my employment may be terminated. I understand that in some situations, providing false information may amount to an offence under the Crimes Act. I understand that if I accept employment, I will be required to sign an Employment Agreement. If appointed, I agree to observe all rules, policies and procedures issued by the establishment
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Yes
No
Date
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Day
/
Month
Year
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