Working for Pye Group

Date of application*

Position applied for*

Farm applied for if applicable

Attach your C.V

Drop files here or

Your Details

Name*

Please write your name in BLOCK LETTERS

First name Surname

Are you known by any other name(s)?

Yes
No

If YES, please state:*

Your Address*

Street Address Town / City Region Postal Code

Contact phone number*

Email address*

Date of Birth*

Smoking*

Non Smoker
Smoker

Contact person

(In the event of unforeseen circumstances at work we need someone to contact in any emergency – hence the necessity for this information)

Name

First Last

Contact Address*

Street Address Town / City Region

Phone - day time*

Phone - after hour's*

Drivers licence

Do you have a current drivers licence?*

Yes
No

If yes, what class*

Drivers Licence No.*

Version No.*

Do you have any demerit points or endorsements?*

Yes
No

If yes, please detail

Consent*

I consent to Pye Group Ltd obtaining information regarding my drivers licence details from the LTSA via their Driver Check Website. This consent is only applicable whilst employed by Pye Group Ltd. Any information obtained shall be confidential to the management of Pye Group Ltd.

Yes
No

Date*

Entitlement to work

Are you a New Zealand or Australian citizen?*

Yes
No

You will need to be entitled to a New Zealand work visa. Please go to www.immigration.govt.nz to see if you are eligible.

Qualifications

If any, please Specify

Do you have any qualifications, certificates, licences or attended any courses which you consider relevant to the position applied for (please give details).

Previous employment - referees

Give name, address and telephone numbers of at least two referees.

Name*

First Last

Address*

Street Address Town / City Region

Phone no.*

Position*

Name*

First Last

Address*

Street Address Town / City Region

Phone no.*

Position*

I consent to the company seeking verbal or written information about me from representatives of my previous employers and referees and authorise the information sought to be released.*

Yes
No

Date*

Skills and Experience

Please list all skills and experience you have that relates to the job you are applying for using as much detail as possible.*

Do you have other employment?*

Yes
No

If yes, please detail*

Do you have any personal responsibilities that may prevent you devoting your full time and attention to the position applied for? Eg. sport/volunteer work*

Yes
No

If yes, please explain*

Please state days/times when you would be unable to work

Existing and previous conditions

Do you have, or have you suffered from, any physical, medical, or other condition which may affect how you do the job you have applied for. Also any allergies you have for emergency reasons.*

Yes
No

If the answer is yes, please give details*

This information is very important and must be completed accurately.

Drug and alchol testing

The Employer has an obligation under the Health and Safety in Employment Act (1992) to provide a safe and healthy working environment and to provide the public with a safe operation. It is the Employer’s policy that any involvement with drugs while on duty or off duty, is considered serious misconduct, which could result in summary dismissal.

Testing for the presence of drugs and/or alcohol may be conducted:
• as part of pre-employment screening
• if there is reasonable cause to suspect an Employee is using illegal/unlawful substances.
• following an accident or incident.

Please confirm that you understand that you may be at any time asked to take a drug and alcohol test, and that you give permission for Pye Group to obtain test results.*

Yes
No

Convictions - legal actions

Have you ever been convicted of any criminal offence or serious traffic offence, or are you currently awaiting trial on any criminal or civil matter?*

Yes
No

If yes, please give details*

Please confirm if you consent to the Department of Courts or any other organisation releasing such information in support of this employment application*

Yes
No

Other interests

What are your interests outside work?

General

If your application is accepted when could you commence employment?*

What housing would you need?*

House
Shared Accommodation
No Accommodation

What is your salary expectation?

CAPTCHA

Working for Pye Group

Pye Group Application Form

Your Details

Contact person

Drivers licence

Entitlement to work

Qualifications

Previous employment - referees

Skills and Experience

Existing and previous conditions

Drug and alchol testing

Convictions - legal actions

Other interests

General

Contact Us

office@pyegroup.co.nz