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Application Form

Registration

Type of Position(s):	Full Time Part Time Temporary Contract

Surname:

First Names:

Address:

Phone: Business

Private:

Mobile/Alternative:

E-mail Address:

Date of birth:

Current NZ Drivers Licence:

Yes No Other Licences

Qualifications:

Preferred fields of Employment:
Additional Skills:

Have you ever had a work related injury? e.g.

RSI/OOS

Yes

Hearing loss

Yes

Eye loss

Yes

Back injury

Yes

Or any other, please explain:

Are you allergic to, or have any sensitivity to any substance or chemicals?

Yes No
If yes, please explain:

Has your work ever been affected by stress or mental health problems (e.g., depression, anxiety)?

Yes No
If yes, please explain:

Have you ever suffered from long-standing fatigue or tiredness?

Yes No
If yes, please explain:

Additional Comments:

In accordance with The Privacy Act 1993, you are entitled to access this information upon request to this company’s Privacy Officer where the information is held.
I (Full Name)		confirm that the above information is correct.

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With the second issue of our newsletter I felt I should try to contribute something by way of an update on the group as a whole. All the doom and gloom talk in the media makes it easy to slip into a negative mode and await the end of the big R, but that’s not what I would like to see, nor indeed what is going to happen to us... Read more »

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Recent Successes

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Fast Track Project that included the extension and reinvigoration of an existing tired Office space to accommodate an amalgamation of 2 separate Office buildings into one bright and fresh working environment... Read more »

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