Join Our Team

General

First Name *

Last Name *

Address 1 *

Address 2

City *

Suburb *

Post Code

Date of Birth * +

Phone *

Email *

Position Applying For *

Other

Are you legally authorized to work in the New Zealand? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

If yes, please explain.

Next of Kin (Person to notify in an emergency) *

Relationship: *

Next of Kin Phone Contact/s *

Address 1 *

Address 2

City *

Suburb *

Post Code

Bank Account Details

Name on Account *

Bank *

Bank Account number *

IRD Number *

Tax Code *

Availability

Days Available

Shift preference:

Days

Swing (3pm-midnight)

Night (12-9am)

Any

Other

How do you intend to travel to work each day? *

Auckland Transport

Dropped off

Drive to work

Other

Medical History

Please Identify any medical issues/conditions *

Work Experience/Qualifications/Certifications

What PPE (Personal Protective Equipment) do you own? *

Do you have a valid Site Safe? *

Yes

No

If yes, please provide Site Safe number

List any skills/work experience that you would like to mention.

Why ALH?

Where did you find us? *

	Yes	No
Seek	Yes	No
Trade Me	Yes	No
Indeed	Yes	No
ALH Website	Yes	No
SJS	Yes	No
Facebook Page	Yes	No
ALH Instagram	Yes	No
From a Friend	Yes	No
Hostel	Yes	No

STATUTORY DECLARATION

TO BE READ AND SIGNED BY APPLICANT

This certifies that I completed this application and that all entries and information are true and complete to the best of my knowledge.

I authorise Auckland Labour Hire to make such investigations and inquiries on my personal, employment and medical history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, health care providers, government authorities and other persons from all liability in responding to inquiries and releasing information in conjunction with my application.

In the event of employment, I understand that false or misleading information given in my application, interview, medical or any other employment process may result in termination of employment. I also understand that I am required to abide by all policy, procedure, guidelines and rules of the Company.

I authorise Auckland Labour Hire to recover the cost of any fines that incur in the company name as a result of my complete disregard for the law. This includes acts such as excessive speed.

*

clear

Name of Applicant: *

Date: * +