Application for Employment Form

CONFIDENTIAL - To be completed by the applicant.

Purpose

This information is collected for the purpose of assessing your suitability for employment at Power Jointing (2018) Ltd, which may include subsequent changes in employment with the company.  We wish to retain the information on file. 
Do you agree to to this? Please Select Yes No

Your Details

Address and Contact Details

Status

Education including University, further eductation etc.

Employment History

Present or Most Recent Employer

Previous Employer

Next Previous Employer

Have you worked for us previously?

Referees

Give name, address and telephone numbers of at least two referees. (Preferably from where you have worked.)

Referee 1

Referee 2

Referee 3

Consent to Obtain Information

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

General Information

Medical

In your past employment have you been exposed to:

CV

Attach CV

Agreement to undertake certain tasks as part of the job interview:

I agree and accept that by undertaking certain tasks appointed by Power Jointing Ltd that it does not constitute a job offer or the commencement of employment and I hereby accept that this is part of the job interview.

Declaration

I declare that to the best of my knowledge the answers in this application are correct and I understand that if any false or deliberately misleading information is given, or any material fact suppressed, I will not be accepted, or if I am employed, my employment will be terminated. I also understand that any false information given in relation to my medical history may result in my loss of entitlement for any compensation from ACC.