Application FormThe application form is a source of information, which will be used by the company to assist us in considering your suitability for the position for which you are applying. If successful this information will form part of the Company’s records. In completing and signing this application I agree: a) I have fully disclosed any existing physical and/or health conditions that might impede my ability to do the job. b) I have confirmed there are no contractual or other legal reasons that would stop me from working for Humphries Construction. c) All information I have supplied is true and correct. d) I am and will remain, able to work legally in New Zealand. e) I understand that completing this form does not indicate there is any obligation on the company to engage me. Please enable JavaScript in your browser to complete this form. - Step 1 of 6Personal DetailsTitle of Position Applied for *Please provide details of any qualificationsCover Letter Click or drag a file to this area to upload. CV * Click or drag a file to this area to upload. Name *FirstLastNextContact DetailsEmail *Mobile Phone Number *Home Phone NumberAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodePreviousNextGeneral InformationHow did you hear about this vacancy? *Word of MouthFacebook/InstagramRadio AdvertisementOnsite SignageThis Website - humphries.kiwiOther Online PlatformAre you prepared to work overtime if required? *YesNoWould you consent to a pre-employment drug test if requested? *YesNoHave you been convicted of any criminal offence? *YesNoIf yes, please provide detailsAre you awaiting the hearing of any criminal charges? *YesNoDo you have a current NZ Drivers Licence? *YesNoDo you have transport arrangements to attend work at any location in Palmerston North? *YesNoDo you have any medical issue which may affect your employment? *YesNoIf yes, please provide detailsHave you been fully vaccinated for Covid-19? *YesNoDo you have any family member or close friend working with us? *YesNoIf yes, please provide detailsDo you have any family member or close friend working in the Construction industry in Palmerston North? *YesNoIf yes, please provide detailsIf your application is successful, when could you commence? *What is your expected wage per hour or annual salary for this role? *PreviousNextEmployment HistoryAre you currently employed? *YesNoIf Yes: CompanyPositionLength of ServiceReason for LeavingNext most recent EmployerCompanyPositionReason for LeavingDo you have Secondary Employment *YesNoIf yes, Details:Have you ever been the subject of any disciplinary action or been dismissed by a previous employer? *YesNoIf yes, Details: PreviousNextReference DetailsPlease provide details of 3 RefereesReferee Name *Position *Company *Phone Number *Referee Name 2PositionCompanyPhone NumberReferee Name 3PositionCompanyPhone NumberPreviousNextDeclarationI DECLARE that to the best of my knowledge the information provided in this application and in any attached CV is true and accurate. I UNDERSTAND that if any false or misleading information is given, or any material fact suppressed, I will not be employed, or if I am employed, my employment may be terminated immediately. I UNDERSTAND that I may be requested to do a Pre-Employment Drug Test and that this process forms part of the recruitment process established by Humphries Construction. A refusal to agree, or undergo a drug test, or return a positive result from the drug test (if requested), means that my application for employment may not be able to progress. I UNDERSTAND that false or incomplete answers relating to my medical history could mean that I cannot receive any Accident Compensation (ACC). Please provide your name and today's date as a form of signature for this declarationName *Date *Submit
