Hayes Common Employment Application Form

Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Are you applying for*

Have seen a position advertised?Hope to seek work?Would like Hayes Common to hold Your details for when a position is available?
Are you Seeking

Full Time PositionPart Time PositionCasual PositionCausal Fixed Term PositionOther
Position you wish to apply for *
How many hours are you seeking to work per week? *
When are you available to start work?*
Full Name:*

First NameLast Name
Preferred Name
I Identify my gender as Type a label
Birth Date*

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
example@example.com
Current Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployeeTrademeFacebookSeekOther (please specify)
Others:
Upload Cover Letter

Cancelof
Upload CV / Resume:*

Cancelof
Are You Legally entitled to work in New Zealand*

YesNo
Are you legally entitled to work in New Zealand by way of a work visa ?*

YesNot applicable to me
If this is by way of a work visa, please provide the following information:
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
Job Skills & Training
Describe your skills:*
Training or Certifications:*
Have you been employed/ had a job before?*

YesNo
References & Employment History

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

Present or Most Recent Employer:
Company*
Address*
Position Held*
Main Duties*
No/ of hours worked per week*
Reason for leaving*
Next Most Recent Employer
Company*
Address *
Position Held*
Main duties*
No/ of hours worked per week*
Reason for leaving*
Employment Reference 1
Name:*

First NameLast Name
Company name *
Referee's Email *
example@example.com
Referee's Position or Job Title *
Phone Number*

Area CodePhone Number
Employment Reference 2
Name:*

First NameLast Name
Companie name *
Referee's Email *
example@example.com
Referee's Position or Job Title *
Phone Number*

Area CodePhone Number
I consent to the company seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorize the information sought to be released by them to the company for the purposes of ascertaining my suitability for the position I am applying for. I understand that the information received by the company is supplied in confidence as evaluative material and will not be disclosed to me.*

YesNo
GENERAL
Do you have secondary employment?*

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

YesNo
Have you worked shifts before?*

YesNo
Have you ever been convicted of any criminal offence (except those cases where our asking you to declare them would breach the Criminal Records (Clean Slate) Act 2004)?*

YesNo
Are you awaiting the hearing of charges in a civil or criminal court of law?*

YesNo
Are you prepared to handle all products, materials or equipment used in the industry?*

YesNo
Do you have a current NZ drivers license?*

YesNo
If yes what class

LearnersRestrictedFull
If yes, please detail
Do you have any relatives or known person currently employed by Hayes Common?*

YesNo
If yes, who and whats your relationship to them?
Are you at present receiving medical treatment and/or medication?*
Are you allergic to, or have any sensitivity to any substances or chemicals?*
Do you have any impairment, physical or mental, that would interfere with your ability to perform the job for which you have applied?*
If there are any positions or types of positions for which you should not be considered or job duties you cannot perform because of a disability, please explain*
Do you consent to the Company retaining the information contained in this application form for the purposes of considering your suitability for any other position which may arise with this business in the future? Yes/No*

YesNo
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 fact is suppressed, I will not be accepted, or if I am employed, my employment will be terminated. I also understand that any false information given in relation to my medical history may result in my loss of entitlement for any compensation from ACC.
Signature*
You can Submit this half of the form.

OR

If you would like to answer some questions to let us learn a little more about your personality and what makes you who you are, you can take the option of clicking the blue button.
Who inspires you in your work and why?
What's something outside of your work that you're passionate about?
What are you reading or watching right now?
What do you work towards in your free time.
What's you ideal work environment?
What are you good at, but don't really want to do anymore?
Is it better to do work that's perfect but late, or good and on time?
What feedback have you received that was difficult to hear and why?
What do you think are the biggest challenges to our industry?
What skills would you want to develop in this role?
What's your super power?
What challenges are you looking for in your next job?
How do you best learn and retain knowledge?
How do you like to keep up with trends and industry knowledge?
We are passionate about sustainability, what could you bring to the table to help us achieve lower waste and/or more sustainable outcomes?
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