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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 :
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 :
How did you learn about us?
Email address:
Do you have local accomodation?
No Yes
Will you have transportation?
No Yes
Check "yes" for all that apply.
Dec 28 to early February (orchard) No Yes
Dec 28 to early February (packhouse) No Yes
March to May (orchard) No Yes
March to early June (packhouse) No Yes
Previous work experience :
    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) : *