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Where did you hear about this opportunity?
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| Are you legally entitled to work in New Zealand?* |
Yes No |
| If yes, type of entitlement? |
NZ Citizen
NZ Permanent Resident
Work Permit
If you have a work permit, please provide details including permit type and expiry date:
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| Please indicate how much customer service-related experience you have had.* |
None
less than 6 months
6 months - 1 year
1 - 2 years
2 - 5 years
5+ years
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| Please give a brief description of your customer service-related experiences.* |
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What qualifications or skills do you have that might be relevant for a position with our company? (If you haven't been in paid work recently, think about what skills you have gained from being at home, in full time study or doing voluntary work, that may be useful in a customer service oriented role.).*
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| Are you able to provide at least 2 verbal, employment related referees - i.e. someone to whom you have reported?* |
Yes No
If no, what referees could you provide? e.g. someone with whom you have served on a committe, a teacher etc.
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| Have you lodged an ACC claim for an injury in the last 5 years?* |
Yes No
If yes, please provide a brief description.
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| Have you ever been dismissed from a job?* |
Yes No
If yes, please state reason(s).
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For some roles, checks on a person's criminal background may be required. In this event, you will be asked to complete an authorisation form. If requested, do you agree to provide this written authorisation to the Ministry of Justice to release information regarding any criminal convictions, including traffic offences, to Silvermoon?*
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Yes No |
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Have you had any criminal convictions in NZ or any other country in the last 7 years or ever been imprisoned?*
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Yes No |
| Are there any charges against you yet to be heard?* |
Yes No
If yes, please provide details as per the Criminal Records (Clean Slate) Act 2004 (see bottom of this page for more information).
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Have you ever worked for Silvermoon previously?*
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Yes No
If yes, please provide details of when and where.
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Do you know anyone currently employed within any of our stores?
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Yes No
If yes, please provide their name and your relationship to them.
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| * required fields |