Employment Application Form

Cambridge Excavators Ltd

PO Box 43039, Hautapu 3451

233A Hannon Rd, Hautapu, Cambridge 3493

Ph: 07 823 4407
Employment Application

Fill the form below accurately indicating your potential and suitability to the job vacancy.
Name: *

First Name Middle Name Last Name
Birth Date

Month Day Year
Phone Number: *

Area Code Phone Number
E-mail Address: *

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status:
Upload CV:
Position Applied for: *
Job Skills & Training
Describe your skills: *
Licence no: *
Version: *
Classes: *
Endorsements: *
Qualifications & Training *
Previous Employment
Employer: *
Address: *
Occupation & Length of Occupation: *
Reason for Leaving: *
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Reference 2
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Acknowledgement: Please read carefully and ensure you understand the following before pressing the submit button below:
Have you been convicted of any criminal offence in a New Zealand Court, including fines, except for convictions that may be protected under the Clean Slate Act? *
I confirm the above details are correct and authorize the company to make any such enquiries of me as they see fit in this application for employment; and thereafter during the course of any employment that may be offered by the company. *
I understand that this information will be held by the company in accordance with the Privacy Act 1993 and that I have the right to access my personal information at any time and request that any incorrect information be amended. *
If my employment is contingent on me holding a current drivers licence, I understand that (a) My driver licence details may be loaded into a secure database for the purpose of confirming driver licence details, licence status and demerit points and that any changes will be advised to the company, and (b) My employment may be terminated at the company’s sole discretion if I am disqualified from driving for whatever reason *
I understand the company may request a pre-employment drug test and that I may be subjected to a voluntary drug and/or alcohol test at any time thereafter in accordance with the company’s health and safety policy. I also understand that a positive result without just cause may result in my employment being terminated *
I confirm that I have divulged all details of any adverse medical history and/or previous ACC claims or treatments that would reasonably be classified as pre-existing conditions that may preclude any similar claims against the company. *
I understand that any false or misleading information or material fact suppressed may result in my employment being terminated. *
Should be Empty:

Employment Application

Job Skills & Training

Previous Employment

References

Reference 1

Reference 2

Acknowledgement: Please read carefully and ensure you understand the following before pressing the submit button below: