Herd Manager Level Role with Shed Responsiblities | Mayview | Job Application

Position applied for

Farm applied for if applicable

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Your Details

First Name *

Surname *

Address

Phone number

Email address *

Date of birth

SmokingNon-smokerSmoker

Contact Person

In the event of unforeseen circumstances at work we need someone to contact in any emergency – hence the necessity for this information.

First Name

Surname

Address

Phone - Day Time

Phone - After Hours

Driver Licence

Do you have a current drivers licence?YesNo

Do you have any demerit points or endorsements?YesNo

Consent
I consent to Tullba Ltd obtaining information regarding my drivers licence details from the LTSA via their Driver Check Website. This consent is only applicable whilst employed by Tullba Ltd. Any information obtained shall be confidential to the management of Tullba Ltd.YesNo

Date (DD/MM/YYYY)

Entitlement to work

Are you a New Zealand or Australian citizen?YesNo

Qualifications

If any, please specify
Do you have any qualifications, certificates, licences or attended any courses which you consider relevant to the position applied for (please give details).

Previous Employment -referees

In the event of unforeseen circumstances at work we need someone to contact in any emergency – hence the necessity for this information.

Referee 1

First Name

Surname

Address

Phone Number

Position

Referee 2

First Name

Surname

Address

Phone Number

Position

I consent to the company seeking verbal or written information about me from representatives of my previous employers and referees and authorise the information sought to be released.YesNo

Date (DD/MM/YYYY)

Skills and Experience

Please list all skills and experience you have that relates to the job you are applying for using as much detail as possible.

Do you have other employment?YesNo

Do you have any personal responsibilities that may prevent you devoting your full time and attention to the position applied for? Eg. sport/volunteer workYesNo

Please state days/times when you would be unable to work

Existing and Previous Conditions

Do you have, or have you suffered from, any physical, medical, or other condition which may affect how you do the job you have applied for. Also any allergies you have for emergency reasons.YesNo

Drug and Alcohol Testing

The Employer has an obligation under the Health and Safety in Employment Act (1992) to provide a safe and healthy working environment and to provide the public with a safe operation. It is the Employer’s policy that any involvement with drugs while on duty or off duty, is considered serious misconduct, which could result in summary dismissal.

Testing for the presence of drugs and/or alcohol may be conducted:

as part of pre-employment screening
if there is reasonable cause to suspect an Employee is using illegal/unlawful substances
following an accident or incident

Please confirm that you understand that you may be at any time asked to take a drug and alcohol test, and that you give permission for Tullba to obtain test results.YesNo

Covid-19 vaccination and testing

All Tullba staff must have a double dose of a COVID-19 vaccine and a negative COVID-19 test before commencing work.

Have you had two doses of a COVID-19 vaccine?YesNo

Will you ensure you have a negative COVID-19 test before commencing work?YesNo

Please confirm that you understand that you may be at any time asked to take a COVID-19 test, and that you give permission for Tullba to obtain test results.YesNo

Convictions - Legal Actions

Have you ever been convicted of any criminal offence or serious traffic offence, or are you currently awaiting trial on any criminal or civil matter?YesNo

Please confirm if you consent to the Department of Courts or any other organisation releasing such information in support of this employment applicationYesNo

Other Interests

What are your interests outside work?

General

If your application is accepted when could you commence employment?

What housing would you need?HouseShared accommodationNo accommodation

What is your salary expectation?

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Application

Your Details

Contact Person

Driver Licence

Entitlement to work

Qualifications

Previous Employment -referees

Referee 1

Referee 2

Skills and Experience

Existing and Previous Conditions

Drug and Alcohol Testing

Covid-19 vaccination and testing

Convictions - Legal Actions

Other Interests

General