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The information provided will be used by Enrich Group to assist in considering your suitability for the position you are applying for. If successful, such information shall form part of Enrich Group personnel records. The completion of this form does not indicate any obligation on Enrich Group to engage the applicant. All information provided is treated as confidential. Information relating to unsuccessful applicants, unless otherwise requested, shall be retained by Enrich Group for a period of 12 months. Enrich Group may contact you if a suitable position becomes available. The above information is provided in accordance with the Privacy Act 1993.
Name*
First Last
Preferred Name (if applicable)
Address*
Street Address City/Town Postcode Country
Phone/Mobile*
Email*
Which position are you applying for?*
Status*
- Permanent
- Casual
- Fixed Term
Where?*
- Hamilton
- Te Awamutu
- Tauranga/Bay of Plenty
- Other

Eligibility to Work in New Zealand*
Do you give Enrich Group permission to check with immigration regarding your work status?*

Driver's Licence*
Are you able to competently drive a manual vehicle?*
Have you ever been disqualified from driving or has your licence been cancelled and / or suspended?*
Do you have any demerit points or endorsements?*
Please provide details below if yes
What transport arrangements do you have to get to and from work?*

I am fully vaccinated (double vaccinated) against COVID-19.
Consent*
I consent to Enrich Group contacting any organisation that I have a professional membership, registration or licence with, as required under the Vulnerable Children's Act 2014

Do you have any other employment / voluntary work (including territorial forces) that you intend to continue with, if you are offered this position?*
If yes, please provide details below of the employment / voluntary work including days and hours or work
Upload Cover Letter
Accepted file types: pdf, doc, docx, Max. file size: 10 MB.
Upload CV
Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

Referee/s
Name
Job Position
Company / Organisation
Contact Phone Number
Email
Referee/s
Name
Job Position
Company / Organisation
Contact Phone Number
Email
Referee
Name
Job Position
Company / Organisation
Contact Phone Number
Email
Consent*
I consent to Enrich Group seeking verbal or written information on a confidential basis about me from representative(s) of my previous employers and / or referees and authorise the information sought to be released by them to Enrich Group for the purposes of ascertaining my suitability for the position for which I am applying. I understand that the information received by Enrich Group is supplied in confidence as evaluative material and may be disclosed to me if my referee authorises.

Do you have (or have you had) any injury, illness, allergy or condition (including anxiety, stress, mental health, back injuries) which has or may affect your performance in this role?*
Please provide details
Are you taking any medication which may have an ability to affect your performance in this role (including your ability to drive)?*
Please provide details
Do you have any disabilities that may affect your performance in this role or require modified equipment or assistance from Enrich Group?*
Please provide details
Have you claimed Accident Compensation (ACC) in the last 12 months?*
Please provide details
Do you consent to undergo a medical examination if we deem it necessary to perform the role you are applying for?*
Are you prepared to undergo drug and / or alcohol testing during your employment at Enrich Group and / or as part of your pre-employment recruitment process?*
Consent*
I understand that false or incomplete answers relating to my medical history could mean that I may compromise my access and receipt of ACC compensation and may jeopardise my ongoing employment with Enrich Group. Any offer of employment may be conditional on my obtaining of a full medical clearance, including through an Enrich Group pre-employment medical.
Enrich Group is a smokefree employer and does not allow smoking on any of its sites. Do you agree to comply with this?*

Have you ever worked for Enrich Group / Gracelands, or an associated organisation, previously?*
Please provide details
Does your spouse / partner / other family member (or anyone else you have a personal relationship with) work, or is a client, at Enrich Group?*
Please provide details
Have you been interviewed for a position at Enrich Group in the last six months?*
Please provide details
There may be requirements to work outside regular hours or to work additional hours to meet operational requirements. Are there any days / nights that you are unable to work?*
Please provide details
Have you even been involved in any employment grievance or disciplinary process?*
Please provide details
If you are successful in this application, when could you start employment with Enrich Group?*
Start Date
How many weeks' notice?
How did you hear about this position?
Please provide details for 'other'

Have you ever been charged with or convicted of a criminal offence in New Zealand or overseas (excluding minor traffic offences)?*
Please provide details
Are you awaiting the hearing of charges in a civil / criminal court of law or are you under investigation for any criminal activities (New Zealand or overseas)?*
Please provide details
Have you ever been the subject of a Diversion ordered by the Courts?*
Please provide details

Consent*
I understand that by undertaking certain tasks appointed by Enrich Group does not constitute a job offer or the commencement of employment and I hereby accept that this is part of the job interview. I declare that my answers submitted in this application and supporting documentation are true and not misleading and that there is no further information that may be relevant that I have not told you about. I acknowledge that if you employ me you are relying on the truth and completeness of my answers and therefore that if in the opinion of Enrich Group I have not answered truthfully and completely, you may terminate my employment immediately and without notice.
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Referee/s