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Employment Application Form
Step
1
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5
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Personal Information
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
Email
(Required)
Phone
(Required)
Date of Birth
(Required)
DD slash MM slash YYYY
Do you have a driver’s licence
(Required)
Full
Restricted
No
Licence No
(Required)
Do you hold a First Aid Certificate
(Required)
Yes
No
Do you have an LCQ?
(Required)
Yes
No
Do you have a Duty Managers OR General Managers Certificate
Yes
No
Do you have secondary employment.
(Required)
Yes
No
Where?
(Required)
Have you worked for us before.
Yes
No
When?
(Required)
Do you have any relatives or friends currently employed by us
(Required)
Yes
No
Who?
(Required)
Position Applying For
(Required)
Please select
Management
Duty Managers
Front of House & Barista’s
Chefs & Kitchen Hands
Admin
Cleaners
Any
Position (Other)
(Required)
Type of work
(Required)
Please select
Full-time
Part-time
Casual
Any
Do you understand Hospitality Includes Public Holidays?
(Required)
Yes
No
Do you understand Hospitality Includes School Holidays?
(Required)
Yes
No
Do you understand Hospitality includes Weekends Both (Saturdays & Sundays)?
(Required)
Yes
No
Place Applying For?
The Boardwalk
The Station
The Duke
Any
Hidden
NIGHT TIME Availability?
(Required)
Availability NIGHT TIME
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Availability DAY TIME
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hidden
DAY TIME Availability?
(Required)
Have you been charged with any offences?
(Required)
Yes
No
Please provide details
(Required)
Do you have any legal proceedings pending?
(Required)
Yes
No
Please provide details
(Required)
Have you been declined ‘key person’ status in terms of the Gambling Act or Declined a General Manager’s Certificate in terms of the Sale of Liquor Act?
(Required)
Yes
No
Hidden
Employment Application
Hidden
Type of Work
(Required)
Full Time
Part Time
Casual
Hidden
Can you work Public holidays
(Required)
Yes
No
Hidden
Can you work School Holidays
(Required)
Yes
No
Hidden
Do you understand hospitality includes weekends (Saturdays & Sundays)
(Required)
Yes
No
Hidden
Notes on Availabilty
Sporting commitments, etc
Health and Physical Particulars
Have you ever suffered from any mental impairment or physical injury?
(Required)
Yes
No
Have you ever had any condition, which is likely to contribute to a work-related gradual process injury, disease, or infection?
(Required)
Yes
No
Have you ever had any serious illness, operation or accident, or condition, which would hamper your work in this position?
(Required)
Yes
No
Health Issues, please specify
(Required)
Qualifications and Employment History
CV and Qualifications
(Required)
Drop files here or
Select files
Max. file size: 10 MB.
Please upload your current/updated CV & any other relevant documents.
Employment Status
Do you need to give notice at your current employment? If yes, how much notice
(Required)
Are you legally entitled to work in New Zealand?
(Required)
Yes
No
Are you on a VISA?
(Required)
Yes
No
What type of VISA do you hold?
(Required)
When does it expire?
(Required)
DD slash MM slash YYYY
Visa Upload
(Required)
Max. file size: 10 MB.
NZ Work Visa APPROVAL from New Zealand Immigration
Max. file size: 10 MB.
Immigration paperwork Upload
Max. file size: 10 MB.
Previous Employment
Please supply the names and telephone numbers of at least three Referees
(Required)
Please provide last employer and at least one previous employer.
Referee 1
Position 1
Employer 1
Nature of Work 1
Start Date 1
DD slash MM slash YYYY
End Date 1
DD slash MM slash YYYY
Reason for leaving 1
Referee 2
Position 2
Employer 2
Nature of Work 2
End Date 2
DD slash MM slash YYYY
Start Date 2
DD slash MM slash YYYY
Referee 3
Position 3
Employer 3
Nature of Work 3
End Date 3
DD slash MM slash YYYY
Start Date 3
DD slash MM slash YYYY
Declaration
Applicant's Declaration
(Required)
I accept the terms and conditions as stated below
I declare that the answers to the questions in this application are correct and I understand that if any false information is given, or any material fact suppressed, I may not be accepted, or if I am employed before any inaccuracies on this form are discovered, I may be dismissed.
I consent to the company and/or Pinnacle Security Consultants Limited seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees (if applicable) and authorise the information sought to be released by them to the company and/or Pinnacle Security Consultants Limited for the purposes of ascertaining my suitability for the position for which I am applying.
If appointed, I agree to observe all rules, policies and procedures issued by the establishment.
I understand that the nature of the hospitality business means I may be required to work weekends, public holidays & school holidays.
I also understand that I will be required to sign an Employment Agreement before employment can commence.
Applicant's Signature
(Required)
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