Employment Application Form

Full time, Seasonal or Part time (Standby squad) *

What position are you applying for? *

Note: Permanent positions are currently only available to individual's based in Taranaki, however we have a number of casual positions on offer across the North Island and we are constantly securing new opportunities to base out of different areas, so keep in touch. WANT TO MOVE TO THE MIGHTY TARANAKI? If you are an experienced Class 5 Driver and interested in relocating to Taranaki for permanent employment, please complete this application and contact jane@symonsgroup.co.nz for more information on how Symons can assist you with relocation to this beautiful region, which was recently voted #2 region in the world by Lonely Planet.

What position/s are you interested in? *

How did you find out about the job (or the Standby squad)? *

Personal Information

First name *

Surname *

Email address *

Mobile phone *

Emergency Contact Phone *

Do you have a smart phone or tablet? *

Date of Birth *

Day

Month

Year

Postal address *

Medical

Physical, mental or health conditions

Do you suffer from any physical, mental or health condition likely to affect the full performance of your duties? This includes any current/previous ACC Claims within the last 2 years. If Yes, give brief details:

Occupational over-use syndrome

Have you ever been diagnosed with/ and treated for occupational over-use syndrome or any other similar condition? If Yes, give brief details:

Exposure to substances

In your past employment have you been exposed to any of the following; noise, solvents, asbestos, skin irritants, heavy metals, infectious metals? If Yes, give brief details:

Predisposition to any other conditions

Do you have a predisposition to any other condition that you are aware of, including but not limited to asthma, heart or respiratory problems, high blood pressure or communicable diseases (eg. HIV, Hepatitis).

Additional Information

Potential start date

Day

Month

Year

If your application is successful, when could you start work?

Are you prepared to work weekends as and when required ? *

Are you prepared to work Dayshift and Nightshift as and when required? *

Attach a CV below or provide details of your past 5 years work experience?

Note: Detail company name, position held & approx. start & finish dates. Or attach CV in next field.

Attach CV

Please upload your CV. This may be in plain text, pdf or Word document format. Any issues please contact Jay Lister during office hours 06 751 9221. If you do not have a CV please include past 5 years employment above.
Files must be less than 8 MB.
Allowed file types: jpg png tif txt rtf pdf doc docx.

Attach other relevant qualifications

Please upload any other relevant qualifications or certificates e.g. first aid certificates, approved/certified handlers certificate, forklift certificate. This may be in plain text, pdf or Word document format. Any issues please contact Jay Lister during office hours 06 751 9221.
Files must be less than 8 MB.
Allowed file types: jpg png tif txt rtf pdf doc docx.

Please either attach two work references or give names and contact numbers for two work referees

Files must be less than 8 MB.
Allowed file types: jpg png txt rtf pdf doc docx.

Attach reference #2

Files must be less than 8 MB.
Allowed file types: gif jpg png bmp txt rtf pdf doc docx.

Work referee name, contact number and relationship

Please give name, contact number and relationship of first work referee

Work referee name, contact number and relationship

Please give name, contact number and relationship of second work referee

Does Symons Group have your permission to contact these referees? *

Do you have any criminal convictions? *

Do you give consent for Symons Group to conduct a police background check prior to commencement of employment? *

Work Experience

Choose the options which most describe your level of experience for each category.

Equipment/Activity

Forklift *

Digger *

Chemical Handling *

Pipe Inspections and/or maintenance *

Inventory Management *

Other relevant experience

Entitlement to work in NZ

Are you a New Zealand citizen ? *

If not, are you a permanent resident of New Zealand ?

Or, do you hold a current New Zealand visa?

Day

Month

Year

If so, please provide visa expiration date.

Any comments

Any questions or comments you would like to have recorded.

TORO check authorisation

NZ drivers licence held ? *

Licence number

Drivers licence / ID scan

Please upload a copy of both the front and back of your drivers licence (use the field below if you have two separate files to upload) - If you do not hold a Drivers Licence please upload some form of ID. File must not exceed 8MB. If you are unable to upload using this webform, please email copy to admin@symonsgroup.co.nz or call Jay Lister on 06 751 9221.
Files must be less than 8 MB.
Allowed file types: gif jpg png pdf.

Drivers licence scan - back

Files must be less than 8 MB.
Allowed file types: gif jpg png pdf.

Licence validation check agreement *

I consent to Symons Group using TORO (Transport Organisation Register Online) through the New Zealand Transport Agency for the purposes of ensuring that I am fully licensed at all times and/or to monitor my licence status and activity.

View TORO terms and conditions.

Declaration

I declare that the answers to the questions in the application are true and correct and I understand that the information requested within this application form is sought to establish my suitability for the position that I am applying and that if I do not provide such information then this application for employment may be rejected.
I note that any offer of employment does not constitute an employment agreement until a separate agreement has been evidenced in writing and signed by Symons Group and myself.
I am not aware of any personal circumstance, medical condition or disability that would limit my ability to adequately perform the role for which I seek appointment.
I accept that, should my application be successful, the foregoing information will form part of my contract of employment and falsification of any information is grounds for dismissal.
By returning this application electronically it is acknowledged that I fully agree with the above declaration.

Applicants invited to an interview will be required to sign this declaration.

Signature *

Please type your full name as confirmation that the above information is correct.

IMPORTANT: Once you press submit please allow time for the page to reload (up to a minute). You do not need to press the submit button again.

Symons Group

Warehouse Yardman & Machine Operator

Employment Application Form

Personal Information

Medical

Additional Information

Work Experience

Entitlement to work in NZ

TORO check authorisation

Declaration

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