Personal Details

Are you a returnee applicant? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Preferred Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Town/City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Country of Origin {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Do you have an NZ drivers licence? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, please provide the details: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you applying with another person? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, what is their name(s)? (Please note they will need to complete separate applications) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you related to anyone who is currently employed by Apata? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, what is their name(s) and your relation? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Work History

Have you worked for Apata previously? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Do you have any previous experience in a Packhouse/Coolstore? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, Company Name and Details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you currently working? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, please provide details of your employment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you legally entitled to work in NZ? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

You must be legally entitled to work in NZ to submit an application. Please ensure you have a current visa or right to work in NZ to apply.

Please attach a copy of your passport or birth certificate (AU/NZ residents) or a copy of work visa (non NZ/AU residents) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

What other skills, education or work experience do you have? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

NOTE: For the purpose of compliance with the Privacy Act 1993. Do you give permission for us to speak with your previous employer for the purpose of reference checking? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Previous Employer Details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Preferred Work

Katikati Shifts:

Coast Day 8am-6pm 6 days

Kaimai Day 8am-7pm 6 days

Coast Night 6.30pm-6am 6 days

Preferred Katikati Shifts {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Te Puke Shifts:

Line 1 Day 8am-6.30pm 6 days

Line 2 Day 7am-5.30pm 6 days

Line 1 Night 7.00pm-5.30am 6 days

Line 2 Night 6.00pm-4.30am 6 days

Preferred Te Puke Shifts {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Preferred Position(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Do you have a current OSH forlift certificate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Other Details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Medical

Have you or do you suffer from any of the following? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Do you wear glasses? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Have you claimed for ACC in the previous 12 months? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Have you have an injury or medical condition caused by gradual process, disease or infection, that may be aggravated or further contributed to by the tasks of this job? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Have you suffered any serious injury or illness that may affect your ability to effectively carry out the functions and responsibilities of this position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Do you have medication that needs to be with you at all times while at work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If you answered yes to any of the above questions, please provide details: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Declaration and Consent

Do you have any criminal convictions? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, please provide details of the convictions below: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

(Do not include any concealed details under the Clean Slate Act)

Are there any charges pending against you? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, please provide details of the charges below: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you required to attend Periodic Detention? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If yes, please provide details below: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

I declare that all information supplied in this application and any resume provided is true and 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 with regards to gradual process, disease or infection can result in my loss of entitlement for any compensation from ACC.

I understand that Apata Group Ltd recognises its responsibilities and obligations imposed under the Health and Safety in Employment Act 2015 and to this purpose I may be asked to undergo a pre-employment drug/alcohol test. I also acknowledge that I may be drug/alcohol tested, following a workplace accident/incident, reasonable cause, randomly or internal transfers.

I consent to Apata Group Ltd. seeing information from or providing information to Government Agencies including WINZ for employed related purposes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }