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Christchurch
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Employment
Call : 021 630 000
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Employment
Application for employment:
Please read through the form before filling out the application
Applying for Position
*
Please Select Position
Cleaner
Duty Manager
Manager
Administration
Full Name
*
Date of Birth
*
Current Address
Please Select Country
Afghanistan
Albania
Algeria
Andorra
Angola
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Chile
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Croatia
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Denmark
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Dominican Republic
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Eritrea
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Ethiopia
Fiji
Finland
France
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Gambia
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Guinea
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Iceland
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Iran
Iraq
Ireland
Israel
Italy
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Japan
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Maldives
Mali
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Mauritius
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Monaco
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Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
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Netherlands
New Zealand
Nicaragua
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Nigeria
North Macedonia
Norway
Oman
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Portugal
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Rwanda
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Saint Lucia
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Slovenia
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Switzerland
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Tonga
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United States
Uruguay
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Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone Number
*
Email Address
*
Are you a New Zealand Resident?
N/A
Yes
No
If no, what visa do you currently hold?
Do you have a New Zealand IRD number?
N/A
Yes
No
Are you currently employed?
N/A
Yes
No
If yes, who with?
If no, who was your previous employer?
What cleaning experience do you have?
None
Hospitals
Domestic
Commercial
Industrial
Schools
Other
If Other, please specify
Do you have a driver's licence?
N/A
Yes, New Zealand licence
Yes, International licence
No
Other
If Other, please specify
How did you hear about this position?
N/A
Friend / relative
Internet
Noticeboard
Newspaper
Accommodation
Other
If Other, please specify
Please check any days you CANNOT work:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you prepared to work on public holidays if required?
N/A
Yes
No
Are you prepared to handle all products, materials or equipment used in the industry?
N/A
Yes
No
If No, please state a reason
What transport arrangements do you have to attend your place of employment?
N/A
My own car
Carpool
Motorcycle
Cycle
Public Transport
Walk
Other
If Other, please specify
Are you a smoker?
N/A
Yes
No
If yes, are you prepared to adhere to all site smoke policies?
N/A
Yes
No
If no, provide reason
Do you have any medical conditions that may affect your ability to carry out the tasks of this job?
N/A
Yes
No
If yes, please provide details
Are you on any prescribed medication?
N/A
Yes
No
If yes, please provide details
Have you been convicted of a criminal offence in the last 5 years?
N/A
Yes
No
Are you awaiting the hearing of a charge in civil or criminal court?
N/A
Yes
No
Please list your previous employment (Employer, location, position, reason for leaving, etc.)
Please provide at least two references from your previous employment (Name, phone, email, position, postal/business address)
Do you have a spouse, partner, relative or household-member working here, or elsewhere in the industry?
N/A
Yes
No
If yes, who? And where do they work?
If your application is accepted, when could you commence employment?
Upload Resume
All Applicants will need to submit a non-positive drug test at your own expense before you are made a Job Offer. We are registered approved urine sample collectors and testers and can do this on site for $30.00 or you can have it done at any of the local medical centres. Do you agree to this?
N/A
Yes
No
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 company in the future?
N/A
Yes
No
I declare that to the best of my knowledge the information in this application form and the information contained in any resume provided is correct and I understand that if any false or deliberately misleading information is given, or any material fact suppressed, I will not be accepted, or if I am employed, my employment will be terminated.
N/A
Yes
No
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