Apply Online

APPLICATION FOR EMPLOYMENT FORM

I agree that Progressive Meats Limited may use this information and any other information provided in the future for human resource purposes, including the assessment of my application for employment and maintenance of my employee file if I am successful. I agree that Progressive Meats Limited may retain this information and any information provided in the future in accordance with the Privacy Act 1993.

Date

PERSONAL DETAILS

Title :(Required)

Mrs

Miss

Other :

Other

Surname :(Required)

First Name(s) :(Required)

Any other names you are known by :

Address(Required)

Address : City : ZIP / Postal Code :

Email :(Required)

Mobile Phone :

PROOF OF RIGHT TO WORK IN NEW ZEALAND

Under the Immigration Act 2009, Progressive Meats Limited is required to check that all prospective workers have New Zealand citizenship or a valid entitlement (ie: visa) to work in New Zealand. Which of the following do you hold and provide supporting evidence:

New Zealand Passport / New Zealand Birth Certificate

Photo ID (Drivers Licence / Kiwi access 18+ Card / Photo signed by Justice of the peace)

New Zealand Birth Certificate & Photo ID

Other Passport with Permanent Residency Visa

Other Passport with Visa to work in New Zealand.

Require employer sponsorship for a work visa

Currently in the process of obtaining a Work or Permanent Residency Visa for New Zealand

Visa expiry date (dd/mm/yyyy)

DD slash MM slash YYYY

AVAILABILITY

Are you currently employed?

Yes

What is your notice period with your current employer?

One week

Two weeks

Other

Other - Notice period

Have you previously worked at Progressive Meats Limited or Kelcold Ltd?

Yes, Provide details:

Details (if worked at Progressive Meats Limited or Kelcold Ltd)

Have you ever worked shifts before?

Yes

Are you prepared to work 10 hour shifts 5 days per week?

Yes

No, Provide details:

Details (if cannot work 10 hour shifts 5 days per week)

Which shift is your preference to work ongoing?

Dayshift Starting at 5.45am/6.00am

Nightshift Starting at 3.30pm/4.00 pm

Backshift Starting at 10.00pm - Cleaning Department

Are you prepared to work weekend shifts (Saturday or Sunday)

Yes

No, Reason:

Details (if no reason to work weekend shifts)

Do you have a preference for work in any department/s? (if not select all).

Lamb Slaughter

Lamb Boning

Beef – Boning/Slaughter

Cleaning

Coldstores – Kelcold Ltd

Packing

WORK HISTORY AND REFERENCES DETAILS

Please begin with most recent / current employment

Reference 1

Company Name

Supervisors/Managers Full Name:

Supervisors/Managers Mobile Phone

Supervisors/Managers email address:

Employment From:

(month / year)

Employment To:

(month / year)

Main Duties:

Reason for leaving:

May we contact this employer as a reference?

Yes

Reference 2

Company Name:

Supervisors/Managers Full Name:

Supervisors/Managers Mobile Phone:

Employment From:

(month / year)

Employment To:

(month / year)

Main Duties:

Reason for leaving:

May we contact this employer as a reference?

Yes

OTHER CHARACTER REFERENCE

Full Name

Mobile Phone:

Email address:

Time period known From:

(month / year)

To:

(month / year)

Confirm the relationship of this person to you (unable to accept family member/s)

Coach

Teacher

Church Leader – unable to accept family member/s

Other

May we contact this person?

Yes

OCCUPATIONAL HEALTH HISTORY

This Medical and Occupational Health History is undertaken as part of Progressive Meats Limited’s effort to optimise considerations for your employment and placement.
Any false or misleading information given in relation to your medical history may result in the loss of entitlement for any compensation from ACC.

Have you ever had a work-related ACC claim?

Yes

Are you comfortable and able to provide your ACC injury Claims History?

Yes

Do you have any issues performing any of the following tasks?

Standing for long periods

Yes

General lifting

Yes

Use of machinery

Yes

Climbing stairs or ladders

Yes

Pre-Employment Health and Injury Disclosure Questionnaire

Have you every suffered a back injury or back strain?

Yes

Are you comfortable to provide ACC Claims History?

Yes

Do you have any medical or health conditions that may affect your ability to carry out manual handing tasks or work 40+ hours per week?

Yes, provide details:

Do you, or have you in the past, suffered from any condition that might contribute to occupational overuse injury such as OOS or RSI?

Yes

Are you allergic to, or have any sensitivity to any substances such as meat products, cardboard, plastic or chemicals (eg: dermatitis from cleaning chemicals) ?

Yes

Do you have any condition or injury that may affect your ability to effectively carry out the functions and tasks of the position applied for?

Yes

Are you currently taking any drugs or medication

Yes

If you have answered yes to any of the above, please provide brief details:

How many days absence from work or school have you had due to sickness in the last 12 month

0 – 2

3 – 5

6 – 10

11 – 15

16 – 20

Over 20

Details (medical or health conditions that may affect your ability to carry out manual handing tasks or work 40+ hours per week)

Are you confident to pass a pre-employment drug and alcohol screening test?

Yes

Do you consent to a pre-employment drug and alcohol screening?

Yes

Do you consent to a pre-employment medical including assessments on vision, hearing, blood pressure, Blood sugar level and drug / alcohol screen?

Yes

CRIMINAL OFFENCES

Note: You are not required to provide any information that is eligible to be concealed under the Criminal Records (Clean Slate) Act 2004 in response to the questions in this section.

Have you ever been convicted of a Criminal offence?

Yes: Provide details

Details (if convicted of a Criminal offence)

Are you awaiting hearing for any charges for any driving offences/any other offences or if the Police are considering laying any charges against you?

Yes: Provide details

Details (if awaiting hearing for any charges or offences)

Are you aware of any charges the Police may be considering laying against you?

Yes

If you have answered yes to any of the above, please provide brief details. Also note that you will be required to provide a Ministry of Justice Criminal Record to verify these details.

Have you got a CV/Resume and/or Cover Letter to include with this short form?

Yes: option to attach.

Upload Cover Letter

Max. file size: 2 GB.

Upload Resume

Max. file size: 2 GB.

How did you hear about us ?(Required)

I can confirm that I am over the age of 17 Years old?

Yes

UNDERTAKING & ACKNOWLEDGEMENT

In submitting this form, I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that any false statements may hinder my application and may provide sufficient grounds for dismissal, if hired.
I understand that Progressive Meats Limited may seek to verify the information provided.
I understand that this information and any other information obtained via the recruitment process will be held indefinitely on a database maintained by Progressive Meats Limited for the purpose of considering me for future opportunities with the company, its related entities or its clients.
I understand that I can request to correct or update the information provided with this Application, or arrange to have it deleted or destroyed at any time.

Date of birth

DD slash MM slash YYYY

Name:

Signature(Required)

42795

83385