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Employment Application Form
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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 hold a First Aid Certificate
(Required)
Yes
No
Do you have a driver’s licence
(Required)
Full
Restricted
No
Licence No
(Required)
Have you been charged with any offences in the last 5 years?
(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
Employment Application
Position Applying For
(Required)
Management
FOH/Barista
Kitchen
Office/Admin
Cleaner
Security
Other
Position (Other)
(Required)
Do you have an LCQ?
(Required)
Yes
No
Please upload your LCQ certificate
Drop files here or
Select files
Max. file size: 2 MB.
Do you have a Duty Managers OR General Managers Certificate
Yes
No
Please upload your Duty Managers OR General Managers Certificate
Drop files here or
Select files
Max. file size: 2 MB.
Place Applying For
(Required)
Duke of Gloucester
Station Bar & Bistro
Boardwalk Beach Bar & Bistro
Type of Work
(Required)
Full Time
Part Time
Casual
Availability DAY TIME
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Not Daytime
Availability NIGHT TIME
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Not Nighttime
Can you work Public holidays
(Required)
Yes
No
Can you work School Holidays
(Required)
Yes
No
Do you understand hospitality includes weekends (Saturdays & Sundays)
(Required)
Yes
No
Notes on Availabilty
Sporting commitments, etc
Health and Physical Particulars
Have you ever suffered any type of personal injury caused by a work-related gradual process, disease, or infection?
(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 CV / Cover Letter and Certificates ie LCQ, Duty Managers
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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