Application form for employment

 Position applied for:
 Location:
 Where did you hear about this position?
   

 Personal Details

 First names:*
 Surname:*
 Preferred name:*
 Home address:*
 Postal address:*
 Email address:*
 Home telephone:*
 Cell phone:
 Work telephone: (May we ring you there?)
 Date of birth:
 Marital status:
 Dependants:
   

 General

 Are you legally entitled to work in New Zealand?  
 (Note: You may be required to produce evidence of your eligibility to work in NZ)
 Have you ever been convicted of a criminal offence?*  
 If YES please give details
 Are you currently before a court on a criminal matter?  
 If YES please give details

 Are you able to work during peak trading times

(October to January)?*

 
 Are you able to work weekends and public holidays?  
   

 Medical

 Have you suffered any illness or injury that preventing

you from performing at work?*

 
 If YES please give details

 Have you ever suffered from an injury at work that

required you to take time off?*

 
 If YES please give details
 Do you smoke?  
   

 Experience

 Please provide full details of your boating experience.

 eg types of boats owned, crewed on, worked on, built, waters sailed, clubs joined, etc*

 Please provide full details of your fishing experience.

 eg. saltwater, freshwater, clubs joined, etc. *

 Please provide full details of your motorhome/caravan/camping experience.

 eg. motorhomes/caravans owned, worked on, member of NZMCA?, have you camped anywhere?, etc.*

   

 Full Employment History

 NB: please provide details for ALL you employment history, not just the last few years, we will not be able to proceed with your application.
 Please list details of all employment, starting with the most recent employment first.  
 Employer (name and address):*
 Nature of business:*
 Job title:*
 Start and end dates:*
 Duties & responsibilities:*
 Amount of salary/wages:*
 Reasons for leaving:*
   
 Employer (name and address):*
 Nature of business:*
 Job title:*
 Start and end dates:*
 Duties & responsibilities:*
 Amount of salary/wages:*
 Reasons for leaving:*
   
 Employer (name and address):*
 Nature of business:*
 Job title:*
 Start and end dates:*
 Duties & responsibilities:*
 Amount of salary/wages:*
 Reasons for leaving:*
   

 Employer (name and address):*

 Nature of business:*
 Start and end dates:*
 Job title:*
 Duties & responsibilities:*
 Amount of salary/wages:*
 Reasons for leaving:*
   
 Employer (name and address):*
 Nature of business:*
 Start and end dates:*
 Job title:*
 Duties & responsibilities:*
 Amount of salary/wages:*
 Reasons for leaving:*
   

 Education

 Please list secondary school(s) and any tertiary institution(s) attended:*

 Please list any certifications, diplomas, degrees attained and year in which attained:

 Please list any boat masters courses passed (eg. Day Skipper) and relevant date:

 Please list provide details of your practical achievements:
 Please provide details of your recreational interests:
   

 Work References

 Work Reference 1  
 Name:*
 Position:*
 Company:*
 Contact Phone:*
 Address:*
 Email:*
   
 Work Reference 2  
 Name:*
 Position:*
 Company:*
 Contact Phone:*
 Address:*
 Email:*
 May we contact your reference?  
   
 Declaration  

 I declare that the information provided in this application is to the best of my knowledge true and correct.

 I consent to the company obtaining information on a confidential basis about me from my previous employers and referees, and I authorise the information to be used by the company for the purpose of evaluating my suitability for the position for which I am applying. I accept that the company may conduct credit and criminal record checks through the appropriate authorities. I understand that the information received by the company is supplied in confidence as evaluative material and will not be disclosed to me.

 
 Date
Submit