WORK WITH US

Date
Preferred Store - 1st choice*
Preferred Store - 2 nd choice
Position applied for
Personal Information
Full Name*
Age*
Date of birth*

DD
MM
YYYY
Email address*
Phone number*
Surburb where you live*
GENERAL AVAILABILITY -Specify if you are free weekdays day/night and or weekend day/nights.
Date you are available to start?
Citizenship*
If not a New Zealand citizen, what type of visa have you been issued with?
Other Information About You
What are your hobbies and interests?
What languages can you speak?
Do you have any health issues we should know about?*
Education and / or Relevant Courses (list up to 3)

List*

Name Of School/Tertiary Institution	From	To	Level Achieved

Relevant Employment or Volunteering
List
Name of Employer From To Type Of Business Position Held Person reported to
References: (personal references if work references are not available)
(personal references if work references are not available)
*
Name Contact Number or Email Relationship
WANT US TO SEE YOU? Upload your photo of yourself or video of why you want the job here
Drop files here or

Accepted file types: jpg, pdf, png, mp4, avi.
ANY MORE ABOUT YOU ? Is there any additional information you would like to provide in support of your application?
Disclaimer
In creating this application I affirm that the preceding statements are true to the best of my knowledge, & any misrepresentation of facts or material omission thereof shall be cause for dismissal. I give permission to perform any reference checking that may be relevant to this position.
- Yes
Untitled
- First Choice
- Second Choice
- Third Choice

Personal Information