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Application Form
Which position are you applying for? (*)
Please enter a role you are applying for
Do you have current or previous experience of working in this role? (*)
Please specify if you have experience in the role you have chosen
If yes, how many years of experience you have had in this role?
Do you have New Zealand Citizenship? (*)
Please specify if you are a NZ citizen
If you are not a NZ Citizen, do you have a valid work permit?
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First name: (*)
Please enter your first name
Surname: (*)
Please enter your surname
Contact Phone Number:
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Email Address: (*)
Please enter your email address
Can we contact you by phone between 7.00am and 6.00pm? (*)
Please indicate - Can we contact you by phone between 7.00am and 6.00pm?
Can we contact you by email? (*)
Please indicate if we can we contact you by email?
Address: House/Unit Number: (*)
Please enter a House/Unit Number:
Street Name: (*)
Please enter a street name
Suburb:
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City & Postcode:
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Country:
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Are you currently:
Are you currently: (*)


Please indicate your employment status
* If you are currently employed (full-time or part-time), how much notice are you required to give in your current job (i.e. none, one week, one month)? Specify here:
What NZ driver's licenses and training do you have (i.e. tick as applicable for current licences only)?
Driving license details










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Employment History
Please supply a record of your previous work history, commencing with the current / most recent and followed by the next two most recent positions (if applicable).
1.(If applicable) Current / Most Recent Position
Employer / Company Name:
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Location (e.g. Auckland region):
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Your Employment Details
Duration (e.g. 2008-Present):
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Projects you worked on during this period / whilst employed by this company include (please list the most relevant to the position you are applying for):
1.
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Role
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2.
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Role
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3.
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Role
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4.
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Role
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2. (If applicable) Next Most Previous Position to 1. (above)
Employer / Company Name:
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Location (e.g. Auckland region):
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Your Employment Details
Duration (e.g. 2008-Present):
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Projects you worked on during this period / whilst employed by this company include (please list the most relevant to the position you are applying for):
1.
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Role
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2.
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Role
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3.
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Role
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4.
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Role
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2. (If applicable) Next Most Previous Position to 1. (above)
Your Employment Details
Duration (e.g. 2008-Present):
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Projects you worked on during this period / whilst employed by this company include (please list the most relevant to the position you are applying for):
1.
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Role
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2.
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Role
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3.
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Role
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4.
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Role
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Reference Details
Please supply the details of two people who have had responsibility for managing / supervising you at work or in a related capacity and are willing to supply us with an employment reference for you.

1. Referee 1
(a) Mr / Mrs / Ms / Other:
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(b) First and Last Names:
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(c) Company:
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(d) Their Position:
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(e) Phone Number:
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(f) Email Address:
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(g) Fax Number:
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1. Referee 2
(a) Mr / Mrs / Ms / Other:
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(b) First and Last Names:
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(c) Company:
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(d) Their Position:
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(e) Phone Number:
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(f) Email Address:
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(g) Fax Number:
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Additional Information
OPTIONAL - Using the "Attachments Upload" field below, please supply additional information relevant to the position you are applying for, with guidelines as follows:
(a)Supply a very brief descrption about why you want this job and consider yourself to be the best candidate for it.
(b) Supply a list of your relevant training, operator licences, courses, workshops, certificates etc.

Need help? Refer to the job description's "Requirements" section to find out what sort of information we are looking for about you.
Attachments Upload - CV
(doc, txt, docx, pdf, rtf) less than 2mb
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Verification Statement

By submitting this form, you are verifying that the information you have supplied is true and correct and that the person submitting this form is the same person who is applying and whose details are therefore recorded on this form.

Dempsey Wood Civil Contractors Limited, PO Box 244-84, Royal Oak, Auckland 1345, New Zealand. P + 64 9 571 2050 F + 64 9 571 2051 E reception@dempseywood.co.nz