Employee Information Form

I understand you treat my personal information with respect and confidence, and will reach out to you if I have any questions or concerns.Take me to the forms!

YESNO

Your Full Name* This field is required.Full name

Prefix (e.g. Ms)

First Name

Middle Name(s)

Last Name

Role TypeLet us know below which role you're applying for

AreaLet us know below what location(s) you are looking to work

Preferred NameLet us know your preferred name

Preferred Name

Have you been known by any other name(s)?* This field is required.I.e. Change by deed poll, maiden names etc.

YESNO

Please provide all previous known names below.[First Name(s), Middle Name(s), Surname(s)] - start a new line if you have others.

Date of BirthYour Date of Birth

Date

Place of Birth* This field is required.[City], [Country]

Your Address* This field is required.Your main residence

Street Address

Suburb

City

North / South Island

Postcode

Country

Have you lived at any other address(es) in the past 10 years?Previous Addresses

YESNO

Please provide full address details of all previous residential addresses.[Street No & Name], [Suburb], [City], [Postcode]. Start a new line for each address.

Phone Number* This field is required.Your Primary Contact Number

Area Code

Phone Number

Email* This field is required.Your Primary Contact Email

example@example.com

Details of person to contact in case of emergency* This field is required.Key Contact Information

Emergency Contact Name

Their relationship to you (e.g. "Partner")

Emergency Contact Phone Number

Sizing TypeSelect your Sizing Type

MensWomens

What is your boot size?* This field is required.If you prefer to use your own boots, select "N/A". Otherwise a bond of $45.00 will be deducted from your wages for supply.

US 5

US 6

US 7

US 8

US 9

US 11

US 12

US 13

US 14

US 15

What is your Vest Size* This field is required.Select your uniform vest sizing. Please note a bond of $25.00 will be deducted from your first wage.

Small

Medium

Large

Extra Large

2XL

3XL

4XL

5XL

6XL

7XL

8XL

Other

I am legally entitled to work in New Zealand* This field is required.

YESNO

Citizenship Status* This field is required.

Select

VisaUpload a copy of your Visa if applicable

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Upload CVAttach copy of your CV, Work History, and/or Cover Letter here

Drag and drop files here

Select files to upload

Proof of IdentityPlease note we do require at least ONE form of photo ID.

Drag and drop files here

Select files to upload

Referees* This field is required.Please provide details of three referees (we won't contact them until you give us the OK).

Referee 1 (Name, Company, Position, Contact Number)

Referee 2 (Name, Company, Position, Contact Number)

Referee 3 (Name, Company, Position, Contact Number)

Do you have any criminal convictions (not covered by the Clean Slate Act 2004)* This field is required.Excluding minor traffic offences and infringements. Please note we do check, so please be honest.

YESNO

Please provide details of all convictions, including year and conviction type.Please include all details, and any information you think is relevant (and important) for us to know.

Do you suffer from any injuries, or medical condition(s) - including allergies - which we need to be aware of?* This field is required.Medical history

YESNO

Please provide as much detail as possible about your injuries, medical condition(s), and/or allergies below.Your health and safety is paramount. This helps us ensure you are placed with opportunities that best support your needs.

Are you currently, or have you in the past 2 years, made any claim or received any compensation for ACC?* This field is required.Previous work injuries.

YESNO

Please provide all details about previous injuries / events. This helps us to match you the best opportunities.

Vaccination StatusPlease select the option that best matches your current status

Fully Vaccinated (2 doses)

Partially Vaccinated (1 dose)

Not Yet (but planning to)

I do not wish to be vaccinated

I do not wish to say

Your Bank Account Number* This field is required.Format 12-1234-1234567-123

Your IRD Number* This field is required.Format 012-012-012

Your Tax Code* This field is required.If you don't know your tax code - go to:https://www.ird.govt.nz/income-tax/income-tax-for-individuals/tax-codes-and-tax-rates-for-individuals/tax-codes-for-individuals/work-out-my-tax-code-gh

Do you want to contribute to KiwiSaver?* This field is required.Select whether you want KiwiSaver.

YESNO

If "YES" to KiwiSaver - what rate would you like?I.e. 3%, 6% 8% - otherwise type "NA"

I confirm that all of the details I have provided are true and correct, and that I have disclosed all information relevant to my application.* This field is required.We place a lot of trust in our people, so a failure to provide all relevant information to us, or providing false or misleading information to us will break our trust (and our hearts), and may result in your application being rejected, termination from any placement, or even criminal and/or civil proceedings brought against you. Work with us, and we'll work for you.

YESNO

I agree to Zalense People running background checks, including Criminal Background checks.* This field is required.

YESNO

I understand if I am successfully employed, I may be required to provide a bond for any uniform provided.* This field is required.Payment is deducted from your wages.

YESNO

Any other information.Let us know if there is anything else we need to know relevant to your application.

SignatureSigned

Clear

File Upload

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Max. file size: 10.6MB

Employee Information Form