Job Application 1Your Details2Employment3Eligibility4Your History5Declaration1/5Your DetailsYour Details Other Classes (please select) * 1F1R1L2345WTRF Do you have your own transport? * YesNo Have you provided us with a copy of your CV? YesNo CV Upload * Next Employment Recent Experience Are you currently employed? * YesNo Do you plan to have secondary employment? * YesNo Please list the details for your two most recent employers below Employer #1 (current or most recent employer) Employment Period Employer #2 Employment Period For the purposes of compliance to the Privacy Act, I consent to Pipeline & Civil seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released by them to Pipeline & Civil for the purposes of ascertaining my suitability for the position I am applying for. YesNo BackNext Eligibility Are you a permanent resident or citizen of New Zealand? * YesNo If no, do you have a valid work visa? YesNo Note: You will be asked to provide evidence of your eligibility to work in New Zealand BackNext Your History Medical History Have you had an injury or medical condition that may be aggravated or further contributed to by the tasks of this job? * YesNo Do you have any other ongoing medical issues that may affect your ability to perform the role? * YesNo Are you willing to undergo a pre-employment drug and alcohol test? * YesNo Have you been vaccinated against COVID19? * Pipeline & Civil require all staff to be fully vaccinated against COVID-19, in accordance with our company policy. We are required to comply with our clients and align with their policy so you will be asked to provide evidence of your covid-19 vaccination status prior to commencing employment. YesNo Criminal History Have you been convicted of a criminal offence? * YesNo Are you awaiting the hearing of charges in a civil or criminal court of law? * YesNo Do you permit to a Criminal Conviction History check * YesNo *Applicants must disclose all criminal convictions unless covered by the Clean Slate Act 2004. If you are unsure please look at the Ministry of Justice website: www.justice.govt.nz/criminal-records/clean-slate. BackNext Referrals Have you been referred by a Pipeline & Civil employee? YesNo 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 may be terminated. I also understand that any false information given in relation to my medical history or previous criminal conviction history may result in the termination from my employment. Do you consent to Pipeline & Civil retaining the information contained in this application for the purposes of considering your suitability for any other position that may arise with Pipeline & Civil in the future? * YesNo All information supplied is confidential and will not be used for any other purpose other than employment purposes. Back
