APPLY FOR A JOB AT WOODLEY'S Application for Employment If you are interested in finding employment with Woodley’s complete the application form below, outlining your experience and skills. NameFirstLast Date What position are you applying for?Experienced Agriculture Seasonal OperatorsOther Where did you see the position advertised?*FacebookWebsiteTrademeWord of MouthReferred by past/current employeeOther Address Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Date of Birth *01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 2018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Age* Email Phone Mobile Select shirt sizeSelect valueSMLXLXXL3XL4XL Are you eligible for a NZ Working Holiday Visa? *Select valueYESNO Have you already obtained work visa approval Select valueYESNO Have you previously worked in NZ? *Select valueYESNO Education*Name of School/ College/ University Date StartDate EndedQualification Do you have any qualifications relevant to the position you are applying for? *Select valueYESNO If so, give details Describe any knowledge/skills and experience you have which maybe relevant to the position for which you are applying for *Select valueYESNO If so, give details Employer's Name FirstLast Current / Previous Employment * Period employed from:* Period employed to:* Position: Reporting to: Responsible for: * Reason for leaving: Current / Past Employment Employer's Name FirstLast Period employed to: Period employed from: Position: Reporting to: Responsible for: Reason for leaving: EXPERIENCE – Add any further information on additional skills / experience you may have *MakeModelExperience Heavy Trucks TractorsBalersForage HarvesterMowersStack/ Pit Loader or TractorTube WrappingRotor RakeOther Additional Information Referee's Name #1*FirstLast Referee #1 Phone Number* Referee #1 Email * Referee's Name #2*FirstLast Referee #2 Phone number* Referee #2 Email * I consent to Woodley’s group seeking verbal or written information about me from my representatives of my previous employers and /or referees and authorise the information sought to be released for the purposes of ascertaining my suitability for the position I am applying for. I understand that the information received by Woodley’s Group is supplied in confidence as evaluative information. And as such understand will not be disclosed to me. Select valueYESNO Date Hobbies & Interests What country is your drivers licence issued?* Classes Held* Expiry Date Drivers License Do you have any known health conditions, which may affect your ability to effectively carry out the functions and responsibilities of the position you have applied for? Select valueYESNO If yes, give details Are you on any medication that may affect your performance in the position you have applied for? Select valueYESNO If yes, give details Have you had any ACC claims in the last 5 years? (Only applicable to NZ Residents)Select valueYesNo If yes, give details I agree to a Drug and Alcohol test Select valueYESNO Have you had any criminal convictions in the last 5 years Select valueYESNO If yes, give details: Are you currently awaiting the hearing for any criminal charge? Select valueYESNO If yes, give details: I approve for the release and use of the information on the following forms: Ministry of Justice request for Third Party informationSelect valueYESNO ACC – request for claims historySelect valueYESNO TORO driver licensingSelect valueYESNO Emergency Contact FirstLast Relationship: Address Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Phone Email I, (FULL NAME) 1. Declare that the answers to the questions in the application are true and correct and I understand that the information requested within this application form is sought to establish my suitability for the position that I am applying and that if I do not provide such information then this application for employment may be rejected. 2. Authorise any screening processes that Woodley’s Group sees fit to exercise in considering this application. I understand this process may include employer references and checking of criminal and medical records. 3. Note that any offer of employment does not constitute an employment agreement until a separate agreement has been evidenced in writing and signed by Woodley’s Group and myself. 4. Am not aware of any personal circumstance, medical condition or disability that would limit my ability to adequately perform the role for which I seek appointment. 5. 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. 6. By returning this application electronically it is acknowledged that I fully agree with the above declaration. Applicants invited to an interview will be required to sign this declaration Select valueYESNO Date Date of Birth01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 2018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901yearSubmitReset WE HAVE A WIDE NETWORK OF FARMERS AND SUPPLIERS NZ WIDE TO HELP YOU FIND A SOLUTION FOR MOST PROBLEMSContact Us
