To apply for a job at Civilscape please fill in the form below, alternatively click HERE to download the form as a PDF
This is a confidential application for employment with CIVILSCAPE LIMITED / TRAFFIC MANAGEMENT SOLUTIONS and forms part of any conditions of employment. It is therefore to be completed and signed by the applicant.
We are an equal opportunity employer. We hire, train and promote without regard to race, colour, national or ethnic origin, sex, marital status or religious belief.
| a) What position are you applying for | |
| b) What is your full name | |
| c) What other name(s) are you known by | |
| d) What is your residential address | |
| e) What is your postal address | |
| f) What are your contact phone nos? |
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| g) What is your date of birth? |
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| Do you hold a current New Zealand Drivers Licence |
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| In what classes |
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| Are you a New Zealand Citizen |
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| If you are not a New Zealand citizen and if you do not have the right of permanent residency here, then New Zealand Immigration requires the company to ask the following questions: |
| Do you have a work permit |
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| Can you produce the evidence for the above if required |
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| Education & Qualifications |
| List your education and qualifications here: (Please include where you gained this qualification, the date attended and the qualifications obtained) |
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| Occupation Qualifications |
| List your occupation qualifications here: (Please list your occupation qualifications and whether certificates sighted) |
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| Do you hold a current first aid certificate |
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| Where appropriate, you will be required to produce the origional qualification documents. |
| Are you currently studying or planning to study for any qualifications |
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| If yes, please give details: |
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| Employment Record |
| List your current or most recent employer first: (Please include dates of employment and reason for leaving) |
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| Reference Checks |
| Are we able to discuss references with your past employers |
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| Are we able to contact your current employer prior to a job offer |
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| Health |
| This company is concerned about delivering a high standard of care to our clients. We are also concerned about your safety and health. Is there anything that may inhibit your work performance. |
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| If yes, please supply details: |
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| In the past 12 months, how many days have you have away from work due to: |
| Sickness | days |
| Injury | days |
| Domestic | days |
| Other Leave | days |
| Have you had any ACC claims? |
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| If yes, please give details |
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| Who shall we contact in the event of illness or accident |
| Name | |
| Relationship with you | |
| Contact Phone | |
| General |
| Are you flexible as to the hours you are able to work |
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| If no, please give details |
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| Have you had any Court convictions in the past ten years |
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| Are you currently awaiting the hearing of any charges |
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| As a condition of employment, would you agree to your wages being paid by direct credit to your bank account |
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If your application is accepted, when could you start work
Give details: |
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| Declaration |
| I, HERBY DECLARE that the answers to the questions in the application are true and correct, I accept that should my application be successful, the foregoing information will form part of my contract of employment and falsification of any information is grounds for dismissal. I agree to undergo a pre-employment drug screening test. |
| Date |
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