Registration Form

If you are candidate looking for permanent placement or temporary assignments, complete our online Registration Form below. We will review your details and experience and be in contact with suitable work opportunities.

Employers wishing to list a position; please send us your contact details, and one of our consultants will contact you to discuss the details of the position.

Candidate Registration
Type of Position(s): Full Time Part Time Temporary Contract
Surname: First Names:
Phone: Business Private
Mobile/Alternative E-mail Address:
Date of birth:    
Current NZ Drivers Licence Yes No Other Licences

Please Tick Work Experience Applicable

Administration Balance Sheet Welding
Call Centre Trial Balance Bar Person
Claims Reconciliations Chef
Data Entry ksph Credit Control Cook
Desktop Publishing Depreciation Kitchen Hand
Dictaphone Human Resources Caregiving
Graphic Design Management Nursing
Finance Supervisor Distribution
Import/Export Training Warehouse
Insurance Merchandising Logistics
Job Costing Retail Stock Control
Legal Sales Rep Quality Control
Payroll Sales Manager Forklift
Purchasing Telemarketing Maintenance
Quotations Customer Service Process Work
Receptionist Building Lab Technician
Secretarial Carpentry Cleaning
Shorthand wpm Joinery Tourism
Word Labouring Info Systems
Processing wpm Electrical Info Technology
Auditing Engineering IT Programmer
A/C Payable Fitter/Turner Helpdesk
A/C Receivable Gas Fitter CAD
Creditors Automotive Hospitality
Debtors Painting Health & Safety
GST Returns Sheetmetal Agriculture
Tax Plumbing Horticulture
Please list Computer Packages Used:
Preferred fields of Employment:
Additional Skills:
Do you have transport available? Yes No
Have you ever had a work related injury? e.g.
RSI/OOS Yes No Hearing loss Yes No
Eye loss Yes No Back injury Yes No
Or any other, please explain:
Are you allergic to, or have any sensitivity to any substance or chemicals?

Yes No
If yes, please explain:

Has your work ever been affected by stress or mental health problems (e.g., depression, anxiety)?

Yes No
If yes, please explain:

Have you ever suffered from long-standing fatigue or tiredness?

Yes No
If yes, please explain:

Have you ever been convicted of a criminal offence?
Yes No
If yes, please explain:
Are you currently before the court on any matter?
Yes No  
Have you ever been dismissed from any previous employment?
Yes No
If yes, please explain:
How many days have you missed from work/school over the past year other than approved holiday/sick leave?
Attach C.V.
Additional Comments
In accordance with The Privacy Act 1993, you are entitled to access this information upon request to this company’s Privacy Officer where the information is held.

I (Full Name)

confirm that the above information is correct.