Application Form (All fields are required)
1. Advertising Avenue:
Where did you see this position advertised?
2. Work Permit :
Are you legally entitled to permanently work in New Zealand?
3. Work Permit :
If you answered "Yes" to question 2, please specify your residency status.
4. WORK PERMIT:
Are you legally entitled to permanently work in New Zealand?
5. REMUNERATION:
What are your salary expectations?
6. START DATE:
If you were successful in your application when would you be able to start work?
7. QUALIFICATIONS:
What health and safety qualifications do you hold?
8. EXPERIENCE:
Do you know anyone that works at Pan Pac Forest Products?
9. EXPERIENCE:
What industries have you worked in where you have utilised your health and safety expertise?
10. EXPERIENCE:
How many year's experience in health & safety do you have?
11. EXPERIENCE:
What type of health and safety advisory or specialist roles have you held?
12. EXPERIENCE:
Have you worked with the ACC Partnership Programme?
13. MEDICAL:
Do you have any medical conditions that could impact your ability to work safely in the role you are applying for? If yes, please provide details.
14. MEDICAL:
Are you taking any medication that may affect your ability to work safely? If yes, please provide details.
15. MEDICAL:
In the last 5 years, have you made a claim with ACC or a similar agency for an accident or injury? If yes, please provide details.
16. MEDICAL:
If you are offered employment, this will be subject to a pre-employment medical and drug test. Do you agree to this?
17. HEALTH AND SAFETY:
Are you prepared to wear and use any safety equipment and clothing that may be required?
18. CRIMINAL CONVICTIONS:
Have you been convicted of a criminal offence? If yes, please provide details.
19. CRIMINAL CONVICTIONS:
Are you awaiting the hearing of any criminal charges in a court of law? If yes, please provide details.
20. OTHER:
Is there any additional information you would like to add in support of your application?
21. DECLARATION:
I declare the information provided in my application is correct. Any false or misleading information may result in my employment being terminated. I understand an employment offer is subject to a pre-employment medical and drug test.
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