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Please return your completed application form, together with any supporting documentation and CV toThe HR DepartmentMcKay Group of CompaniesP.O.Box 843WhangareiNew ZealandEmail: hr@mckay.co.nzCONFIDENTIAL (To be completed personally by the applicant) Date of Application:APPLICATION FOR EMPLOYMENTNote:The completion of this form does not indicate any obligation on the company to employ the applicant.Purpose: This information is collected for the purpose of assessing your suitability for employment at McKay whIch may include subsequent changes in employment with the company.POSITION APPLIED FOR:PERSONAL DETAILSFamily NameGiven Names(Underline Name Used)Are you known by any other names(Give Details)Nationality (Ethnic Origin)Physical AddressPhone NumberAfter HoursCell PhoneEmailHave you reached the current school leaving age of 16 yearsYESNOEligibility to work in New ZealandAre you legally entitled to work in New Zealand?YESNOAre you a (circle one)New Zealand CitizenPermanent ResidentHolder of a current work permitEducation Details (including University, further education, etc. where applicable)Name of secondary school(s) attendedQualifications (SC, UE, NCEA 1,2 or 3)SubjectsOther QualificationsYesNoSubjectsCan you hold an everyday conversation in any language other than English? Give details.Apprenticeship (For trades positions only)Do you have your apprenticeship papers/National CertificateYesNoIn what trade were you apprenticedWhat was the name and address of your EmployerNameAddressWhat trade qualifications do you hold? (i.e. Trade Cert, Advanced Trade)Qualifications (Please provide copies)Do you have any other qualifications/certificates/licences or attended any courses? (Give Details)Please describe the skills you hold which are relevant to the position applied for (e.g. for a typist – typing speed, word processing capability, shorthand capability, etc.)Employment HistoryPresent or most recent employerCompany:Address:Position:Main Duties:Hours per week:Length of Service:Reason for Leaving:For the purpose of compliance with the Privacy Act 1993, do you consent to the company contacting your present employer for the purposes of reference checking.YesNoNext most recent employerCompany:Address:Position:Main Duties:Hours per week:Length of Service:Reason for Leaving:Next most recent employerCompany:Address:Position:Main Duties:Hours per week:Length of Service:Reason for Leaving:Have you ever worked for this company or an associated company before? (Mckay Limited, Ward Chandler Electrical Limited or MGE 2010 NZ Limited).If yes, where and when:YesNoDo you have secondary employment? If yes, please provide details.YesNoReferees (Give name, address and telephone numbers of at least two professional referees)Name and PositionAddressPhone No.Name and PositionAddressPhone No.Name and PositionAddressPhone No.If your application is successful, when could you commence employment. ______________________________I____________________________________________________consent to the company seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released by them to the company for the purposes of ascertaining my suitability for the position for which I am applying. I understand that the information received by the company is supplied in confidence as evaluative material and will not be disclosed to me.SignatureDateGeneralAre you prepared to work shifts if required to do so?YesNoHave you worked shifts before?YesNoAre you prepared to work overtime if required?YesNoHave you ever had disciplinary action resulting in termination by a past employer?YesNoHave you ever brought a personal grievance against a previous employer?If yes, please provide details:YesNoDo you have any criminal convictions, not including any concealed under the Clean Slate Act?If yes, please provide details:YesNoHave you been the subject of a Diversion ordered by the courts?If yes, please provide details:YesNoAre you awaiting the hearing of charges in a civil or criminal court of law?If yes, please provide details:YesNoAre you able and prepared to handle all products, materials, or equipment used in the Industry?YesNoDo you have a current driver’s licence?If yes, what class? _______________________________Drivers licence No: ______________________________YesNoDo you have any demerit points or endorsements?If yes, please provide details:YesNoHave you had any vehicle accidents?If yes, please provide details:YesNoDo you have any civil legal proceedings against you pending?If yes, please provide details:YesNoDo you have a spouse, partner, or relative, or relative of your partner working here or elsewhere in the same industry?If yes, who?Where?YesNoWhat transport arrangements do you have to attend your place of employment?What are your interests/hobbies/sports/clubs or community activities?MedicalDo you have any health related issues (including stress) that may impact on your ability to perform the tasks listed in the Job Description and/or Task Analysis for the job that you are applying for?If yes, please provide details:YesNoIf you are offered employment, the offer may be made subject to you obtaining a full medical clearance (by completion of medical examination) to assess your fitness for the job for which you are applying.Do you consent to undergo a medical examination if you are offered employment? YesNoDo you consent to any biological monitoring in accordance with the Health and Safety in Employment Act 1992, if applicable?YesNoDeclarationI_________________________________________________ (full name) declare that to the best of my knowledge the information provided in this application and in any resume enclosed is accurate and I understand that if any false or misleading information is given, or any material fact suppressed, I will not be employed, or if I am employed, my employment may be terminated. [I further understand that any offer of employment if made is conditional on my obtaining a full medical clearance]SignatureDateReference ConsentName of organisation: _____________________________________________________________I consent to the above organisation seeking verbal or written reference on a confidential basis from ……………………………………..……..(person) of ………………………………………………………… (organisation) about me, and authorise the information sought to be released for the purposes of ascertaining my suitability for the position for which I am applying. I understand that the information received by the Company is supplied in confidence as evaluative material and will not be disclosed to me.SignatureDatePrivacy WaiverWe collect personal information from you, including information about your:name;contact information;experience; and skills and qualificationsThis information is collected in order to recruit employees; andto be used to create a company profile to submit experience and qualification information as part of our tenders for business.Besides our staff, we share this information with:potential clients?in order to?secure new business;and may possibly also appear on social media.Providing some information is optional. If you wish us not to use your profile for the purpose/s stated above, please do let us know by signing the rmation has been obtained from your CV we have on your personal file. You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you would like to ask for a copy of your information or to have it corrected, please contact us at?hr@mckay.co.nz. I ____________________________________ hereby give consent / do not give consent (delete one) to McKay Limited to use my profile for the purpose/s stated above.SignatureDateChecklistPlease provide copies of the following with your applicationEWRB Registration / Practicing Licence / Limited Licence (if applicable)Trade Certificate CopiesCopies of other relevant qualificationsDriving Licence (both sides) ................
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