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Application Form

6730738***Before filling in this form, please check our Facebook page to see vacancy status updates.***

Declaration: By submitting this form, I declare that, to the best of my knowledge, the answers to these questions are correct. I understand that if any false information is given or any information is withheld, I may not be accepted, or if I am employed, I may be dismissed. I agree that Wai-West Horticulture Ltd may check with my previous employers and any people who have given references for the purposes of assessing my application for employment with Wai-West Horticulture Ltd.

I acknowledge that Wai-West Horticulture Ltd in deciding whether to employ me may use the information I have given. I also agree that if I am employed by Wai-West Horticulture Ltd, this information and any other information I provide during my employment may be used by the company for any matter related to my employment.

Name (required): Email (required): Age (required):
Phone (required): Postal Address (required):
Gender (required):

Are you currently in New Zealand? (required)
NoYes
Are you currently registered with Work & Income (WINZ)? (required)
NoYes
What is your residency status? (required)
New Zealand CitizenNZ Permanent ResidentNZ Work PermitOther (give details)
If you answered NZ Work Permit or Other, please provide description of evidence of your entitlement to work in New Zealand.

Have you been convicted of a criminal offense? (required)
NoYes (give details)

Please provide details about your most recent employer including a contact name, phone number and email address (required)

If you have previously worked for Wai-West Horticulture please supply dates.

Please provide information about any other previous work experience in the horticulture industry.

What type of Harvest Team work would you prefer? (required)
AnyApple HarvestApple ThinningApple PruningBerry HarvestBerry TrainingKiwi HarvestKiwi ThinningKiwi Pruning

Your availability to work (required)
Start date to finish date

Do you have reliable transport? (required) NoYes

Upload resume:

Please fill in the following health assessment (required):
NoYes -- Have you had an ACC claim for any injury?
NoYes -- Have you had treatment for an injury, strain or pain of your body?
NoYes -- Have you had a hernia?
NoYes -- Have you had any skin rashes, dermatitis or eczema?
NoYes -- Have you had diarrhoea in the past month?
NoYes -- Do you suffer from high blood pressure/heart complaint?
NoYes -- Do you suffer from colour blindness?
NoYes -- Do you suffer from any other ailments or infectious disease?
NoYes -- Do you have any allergies, like beestings?
If you have answered Yes to any of these health options, please give details:

I prefer to be contacted by: anyemailtxtphoneother (give details)

Disclaimer - please read carefully: Wai-West Horticulture Ltd’s policy is always to employ the best person available for the job, taking into consideration the balance of skills, knowledge, attitude and personal characteristics required. All applicants should complete a standard application form for employment to ensure all legal requirements associated with recruitment are satisfied. Your form will be held on our database for the purpose of assessing your suitability for employment. We are unable to guarantee that your application will lead to you securing employment within Wai-West Horticulture Ltd.

Acknowledgement: I acknowledge that I currently have no work-related injury or ACC claim that would preclude me from carrying out the tasks for which I would be required to perform in a position at Wai-West Horticulture Ltd. I acknowledge that the personal information supplied in this form is obtained for the purposes of assessing this application and if employment eventuates, may be used as necessary in respect of all matters relating to my employment with Wai-West Horticulture Ltd.