ALBANY
Please Leave completed form at Checkout Customer Services or Email: albany@nw.co.nz
C CONFIDENTIAL
To be completed personally by Applicant
Date of application:
__ / __/__
Application for Employment
Note: The completion of this form does not indicate that there is any obligation on the Company to
contact/employ you
Purpose: This information is collected for the purpose of assessing your suitability for employment
at New World Albany, which may include subsequent changes in employment with the Company
PLEASE PRINT
Position applying for: ________________________________________________________
(If not applying for a specific position, enter ‘any’ or leave blank)
Personal Information:
Title: (Please circle)
Mr / Mrs / Ms / Miss
First Name: ________________________Family Name: ______________________________
Preferred name (If different from above): ____________________________
Address:
__________________________________________________________________
___________________________________________________________________________
Telephone No.: (___) _________________ Mobile No.:______________________________
Please complete this section if you are under the age of 20 years
Date of Birth: ____/____/____
Age: ________
Work Status
Are you:
Legally entitled to work in New Zealand –
(Legal means that you are a citizen, permanent resident or hold a current work permit)
YES/NO
Are you:
A citizen or permanent resident
YES/NO
A holder of a current work permit
YES/NO
Expiry Date:
___ / ___ / ___
A holder of a student visa
YES/NO
Expiry Date:
___ / ___ / ___
You will be required to provide evidence of your entitlement to work in NZ
(i.e. a current work permit or residency papers)
If your application is successful when could you start work?
____________________________________
or
___ / ___ / ___