Current Vacancies
 

CKL Employment Application Form

Please fill in the form below and attach your CV and any other relevant documentation.

This form and any other material you provide with it, is a source of information which will be used in considering your suitability for the position for which you are applying. Failure to supply the information requested may prejudice our ability to assess your suitability.

Please complete this form to request further information and we will contact you shortly. Please make sure you fill in all required (*) fields.

* Positions
 
* Name
 
Street
 
Suburb
 
Town/City
 
Post Code/RD
 
Region
 
Date of Birth (dd/mm/yy)
 
* Home Phone
 
* Work Phone
 
Mobile
 
Fax Number
 
* Email Address
 

Referees

 

Names of two or three referees whose consent has been obtained and who may be contacted for a confidential reference. (Where possible at least two of the referees should be able to give work related information and should have supervised or been senior to you in your current or most recent employment)

Referee 1
Name
 
Address
 
Phone
 
Mobile
 
Email Address
 
Referee 2
Name
 
Address
 
Phone
 
Mobile
 
Email Address
 
Referee 3
Name
 
Address
 
Phone
 
Mobile
 
Email Address
 

More Information

 
 
Do you consent to CKL retaining the information obtained in relation to this application for the purpose of assessing your suitability for other positions for which you may be considered within the next six months:
 
 
Yes No
 
Date Available to Start
 
Or period of notice required in current employment
 
 
Are you legally entitled to work in New Zealand?
 
 
Yes No
 
 
Do you have any other business interests that may conflict with the position for which you are applying?
 
 
Yes No
 
If so please state what these are
 
 
As part of our pre-employment process you may be required to undertake a full medical assessment which will include testing for banned drugs. Do you give your consent to the medical assessment?
 
 
Yes No
 
 
Have you had any convictions for criminal offences other than minor driving infringements? Or have you ever been disqualified from driving?
 
 
Yes No
 
If yes please give details
 
 
Are you awaiting any court appearances?
 
 
Yes No
 
 
Have you ever been disciplined or dismissed from employment for?
 
 
Yes No
 
 
Dishonesty or unauthorised possession of company property
 
 
Yes No
 
 
Assault or Fighting
 
 
Yes No
 
 
Alcohol or Substance Abuse
 
 
Yes No
 
 
Violating Health & Safety rules
 
 
Yes No
 
 
Have you ever had your name changed by statutory declaration?
 
 
Yes No
 
If yes please give details
 
 
The following information is required to assist Company to meet its obligations under the Health and Safety in Employment Act 1992 and the Accident Rehabilitation and Compensation Insurance Act 1992, and to assess you ability to do the job.

Do you suffer from or have you suffered any injury or medical condition caused by gradual process, disease or infection (e.g. repetitive strain injury, occupational overuse syndrome, back injury or strain, hearing loss, sensitivity to chemicals) which this job may aggravate or contribute to?
 
 
Yes No
 
If yes please give details
 
 
Do you have any health condition which could affect your ability to do this job?
 
 
Yes No
 
If yes please give details
 

Attach CV

 
Attach CV
 

Declaration

 

I consent to Company seeking verbal or written information about me which includes all Professional Memberships and all Tertiary qualifications on a confidential basis and authorise the information requested to be released. I understand that the information will be supplied in confidence as evaluative material and will not be disclosed to me.

I hereby certify that all the information given orally and in writing by me for my application is true and complete to the best of my knowledge and belief. I understand that the provision of false, incomplete or misleading information will be grounds for summary dismissal.

 
Name
 
Date
20/06/2013
 
 
Confirmation Code
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NOTE: If your CV is large in size then the form may take a few minutes to send. Please only press the button above ONCE.

 
There are no current vacancies
 

CKL recognises that our success is attributable to our talent, and so we have a policy of investing in the right people. We welcome your job application, which will be treated in the strictest of confidence.