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Application for Seasonal Employment
    Job applications are only accepted from those holding a valid Working Holiday Visa
Work Permit Classification :
Work Permit Expiry Date :
Work Permit Special Conditions :
    Contact Details
Family Name :
First Names :
Email address:
Gender :
Height :
* (cm)
Note: your height helps us to assess the best opportunity placement for you.
Nationality :
Address :
IRD Number :
Bank A/C Number :
(Wages are direct credit)
Do you participate in KiwiSaver?
No Yes    (NZ Citizens only)
Date of Birth :
Contact Phone No :
(NZ Number if possible) *
Emergency Contact [Name] :
Emergency Contact [Phone No.] :
(Include country code) *
Are you colour blind?
No Yes
Have you been affected by R.S.I.?
No Yes
If yes to RSI, how recentely?
List any allergies or health issues :
    Other Information
Where did you learn about us?
Do you need local accomodation?
No Yes
Do you own a vehicle?
No Yes
Check "yes" for all that apply.
Mid Oct to Dec (orchard) No Yes
Jan 5 to early Feb (orchard) No Yes
Jan 5 to early Feb (packhouse) No Yes
March to May (orchard) No Yes
March to May (packhouse) No Yes
What experience do you have? :
    You must provided two referee's including their contact phone number(s)
   Please note: A referee is your previous employer or supervisor
First Referee (Name) : *
First Referee (Address) : *
First Referee (Phone Number) : *
Second Referee (Name) : *
Second Referee (Address) : *
Second Referee (Phone Number) : *