• I am
  • State the advertised position clearly
  • Have you been convicted of a criminal offence or do you have any charges pending (excluding any minor traffic offences):
  • Are you legally entitled to work in New Zealand
  • If you are offered employment, the offer may be subject to you obtaining a full medical clearance following the completion of our pre-employment medical.
  • Have you had any injury or medical condition caused by gradual process, disease or infection for example hearing loss, sensitivity to chemicals, occupational overuse syndrome
  • If yes, please specify details and your last date of treatment for (each of) the injury(s) or illness (es)
  • Will the tasks of this position further aggravated or contributed to your injury or illness
  • Do you have a current licence
  • Indicate for what classes
  • List your qualification
  • Upload your CV here
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    Accepted file types: pdf, jpg, gif, png, docx, doc.
  • List your most recent experience first
    CompanyRoleDutiesHrs per weekYear fromYear to 
  • Please provide the details of at least two referees who we can contact.
    Name and SurnameCompanyRelationshipTelephone # 
  • I declare that to the best of my knowledge the answers in this application for employment form are 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. I further understand that any offer of employment if made maybe conditional on my obtaining a full medical clearance through the Company’s pre-employment medical. I also understand that the information requested within this application form is sought to establish my suitability for the position that I am applying and that if I do not provide such information then this application for employment may be rejected. If I am unsuccessful I DO / DO NOT authorise Westroads to maintain this application on their files for future opportunities for a period of one year.
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