DNA WORK Application form

Please fill in all fields.

Gender



Do you have a car?



POSITION APPLIED FOR

Have you worked in a kiwifruit orchard before?*




Do you need accommodation? ( Accommodation can be provided)




SKILLS AND LICENSES

EMPLOYMENT HISTORY

Are you legally entitled to work in New Zealand?*




HEALTH AND SAFETY

Do you have a medical, allergic or physical condition or injuries that may affect your ability to effectively carry out your duties?*



Are you currently receiving medical treatment or are you taking prescription medicine?*



Do you need to bring prescription medicine to work?*



Do you have a hearing disability?*



Have you ever suffered a back injury?*



DECLARATION AND CONSENT

A: I consent to DNA CORPORATE COMMERCIAL seeking information, on a confidential basis, about me from any previous employers or referees and authorize the information sought to be released for the purposes of ascertaining my suitability for the position for which I am applying. The information received by DNA CORPORATE COMMERCIAL is supplied in confidence, and evaluative material will not be disclosed. I also consent to DNA CORPORATE COMMERCIAL seeking information from Government Agencies or providing information to Government Agencies for employment related purposes.

I agree to the terms above*



CONTACT US

Tairua,
New Zealand
info@dnacorporate.co.nz

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