Employment Application Form

  • Employment Application Form

  • This Employment Application forms part of Waiotahi Group of Companies employment files and must be completed and signed by the applicant. As part of the Walotahi Group of Companies commitment to a health and safe workplace we have a drug free workforce. A clean pre-employment drug test is required for all roles. We conduct pre-employment medicals for health monitoring purposes.

  • 1. Tell us About Yourself

  • Are you legally entitled to work in New Zealand?

  • Evidence of your eligibility to work in New Zealand might be required.

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  • 2. What Licences do you hold?

    Note: You will need to produce your Drivers License for inspection and record.
  • Select the applicable Licences:
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  • Do you have any current demerit points?

  • 3. Tell us about your Education and Qualifications

    Note: You will need to provide evidence of your qualifications.
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  • Are you currently studying or planning to study for any Qualifications?
  • Are you willing to undertake training during or outside business hours if requested?

  • 4. Previous Employment

    Where else have you worked for? (Tell us about your most recent job first)
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  • 5. Who can we contact to ask about you?

    Please give us info on two people we can ask about you. A previous employer, manager, or team mate is preferred.

  • 6. Have we met before?

  • Have you worked for Waiotahi Group of Companies before?
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  • 7. How's you health?

  • Waiotahi Group of Companies is concerned about the health and safety of its employees. We would like to know about any medical problems or any disabilities you have, in order to be able to give you the appropriate and prompt attention in the event of an emergency.

     

  • How would you describe your health?
  • Do you presently have, or had in the past, any health problems that might affect your attendance and/or performance at work? If yes, please give us more details.
  • Have you ever had an injury that meant you had to take time off work? If yes, please give us more details.

  • Please, provide any other information that you identify as being relevant to this application (e.g. Medical conditions, disabilities).

  • 8. Any Issues?

  • Have you ever been convicted of any criminal offence that is not currently excluded under the Criminal Records (Clean Slate) Act 2004? If yes, please give us more details.

  • 9. General

  • Do you have any obligations which may interfere with your work attendance or performance? (Family commitments, community/ committee activities, sport). If yes, please give us more details.
  • Are you able to work Saturdays and Sundays if required?
  • As a condition of employment, would you agree to your wages being paid by direct credit to your bank account?
  • Are you available for work that involves staying away from your employment base?

  • If your application is sucessful, you may also be required to work and carry out other duties on a temporary or permanent basis when requested.

  • 10. Pre-Employment ACC History Check

  • As part of our hiring process, we require all candidates to complete an ACC Pre-employment check. This process will provide us with a report on any ACC claims you have previously had.

    Please follow the link below to complete the check:

    https://my.acc.co.nz/login?_ga=2.105200259.1030122210.1720666555-440407324.1720666513

    When filling out the form, please ensure you enter the email address HR@waiotahi.co.nz in the box labeled 'Email the Employment Check to.'

  • 11. Declaration

  • Please read the following statement carefully and then sign and put today's date if you agree to them.

    • I state that, to the best of my knowledge, the answers supplied in the above application are true and correct.
    • I accept that should my application be successful, the information I have supplied will form a part of my Contract of Employment and that any false information I have supplied is grounds for dismissal.
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