Job Application Form
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1
2JOB APPLICATION
This application must be
The purpose of this Application Form is to obtain information from you to assist us to make a
decision regarding your suitability for positions available with Mr Apple NZ Ltd. If you provide
personally completed by the
incorrect information we would consider this to be grounds for dismissal in the event that your
applicant. This application is
application is successful. All information given to us will be treated confidentially and will only
not a guarantee of a position.
be released in accordance with the authorisations you provide to us in this form.
First Name(s): .................................................................... Last Name: ................................................................................
Preferred First Name: ........................................................ Date of Birth: ____/____/____
Male
Female
Address: .................................................................................................................................................................................
................................................................................................................................................. Post Code
Preferred Phone #: ............................................................. Other Phone #. ..........................................................................
Email Address: .......................................................................................................................................................................
Position Applied for: ..........................................................................................
Positions interested in:
Forklift
Preferred Site
Preferred Shift
Administration
PACKHOUSE/
Whakatu
(if applicable)
Grader/Packer
COOLSTORE
Havelock
Day 6am - 3pm
Quality Control
Waipawa
Night 3.30pm-12.30am
Stacking
Applications
Hastings Coolstore
Trucking
Only
Cleaning
Preferred Location
Positions interested in:
ORCHARD
Hastings
(Blyth, Clive, Close, Ngapuka, Pilos, Scotland)
Picking
Tractor Work
CHB
(Kanuka, Pacific, Rangihua, TePapa, Thornton)
Applications
Thinning
Forklift
Napier
(Brookfield, Kinross, Meeanee)
Pruning
Only
Orchard Name:_________________________________
All employees may be required to perform alternative duties and work overtime as, and when required.
Work is 6 days a week as required and varies across locations.
1. Have you worked for Mr Apple before?
Yes
No
If yes what site ................................................................
2. Are you a NZ Citizen or Permanent Resident?
Yes
No
You may be asked for evidence of this (e.g. Passport, Birth Cert., NZ Citizenship Cert.)
3. Do you have the right to work in NZ?
Yes
No
You will need to provide evidence of this (Visa/Work Permit etc.)
When does your Permit expire? _______/_______/_______
4. Within the last 10 years have you been convicted of any criminal offence?
Yes
No
If yes, please give details: .................................................................................................................................................
5. Do you have any medical conditions (e.g. Asthma, Diabetes, Allergies, Transferable Diseases or injury that
could in any way affect your work performance in any particular job?):
Yes
No
If yes, please give details: .................................................................................................................................................
6. Will you be bringing any medication to work with you?
Yes
No
If yes, please give details: .................................................................................................................................................
job application form.docx
Last updated 20th November 2013
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Parent category: Business