Online Job ApplicationPlease enable JavaScript in your browser to complete this form.APPLICANT DETAILSFull Name *Address *Email *Mobile Phone *Home Phone *Licence Number *Version Number *Expiry Date *Date of birth *Current classes / endorsements held123456DFPRTWDo you give permission for Holmes Group to enter your licence details into NZTA TORO driver licence check system? *YesNoDo you have any conditions or limitations attached to your licence? *YesNoIf answered yes to the above, please note details.POSITION TYPE APPLYING FORPlease select from positions type of interest (Please Tick all that apply) *TRUCK / HPMV OPERATORLog TruckChip LinerOff Highway UnitFORKLIFT OPERATOR1 – 5 Tonne6 – 10 Tonne12 Tonne and upMACHINERY OPERATORExcavatorBobcatWheeled LoaderIf position applying for is not listed above please state position type and preference below (e.g. IT Guru, repairing PDTs)HISTORY DETAILSDo you hold a current Forklift Certification? *YesNoDo you hold a current First Aid Certification? *YesNoDo you have a valid General Requirements Certificate? *YesNoMost Recent Employment History (please include contact person, contact phone, date range of employment and reason for leaving). *Do you give permission for Holmes Group to contact previous employers listed and verify your work history? *YesNoHave you previously been employed by Holmes Group or a division of the group? *YesNoPlease list your previous operating experience (include vehicle type) and or work experienceHave you been convicted of a criminal offence within the last 5 years? *YesNoAre you currently waiting to appear before a court on an offence? *YesNoAre you currently wearing a court appointed monitoring device? *YesNoHave you had time off work for back related problems in the past 5 years? *YesNoHave you been on ACC in the past 5 years for any other health issue? *YesNoDo you have any other medical condition that may affect your ability to fulfil your duties as an operator or limit your performance at work? *YesNoIf answered yes to any of the above questions, please note details.Do you consent to Holmes Group performing a criminal conviction check? *YesNoAll potential employees are required to under go pre-employment drug and alcohol test. Mandatory screening is to be undertaken before being considered for employment. To include future testing for post incident, random and reasonable cause once employed as per company policy.Do you consent to drug and alcohol testing and terms as above? *YesNoAll new and current employees are required to undergo a mandatory medical health check. Medicals are provided by a certified medical provider and information gathered is confidential, however is made available to the company.Do you consent to a medical health check and annual monitoring? *YesNoDISCLOSUREI confirm that I am legally entitled to work in New Zealand.I am *a New Zealand citizenHold a current New Zealand work visaI confirm the information I have provided within this application is true and accurate, and I will supply all supporting documents. I understand my application may be declined based on information I have provided. If successfully employed by Holmes Group and information I have provided is disproven, I understand my employment may be terminated immediately. Upon submitting this application I accept all terms as outlined in this above.Single Checkbox Field *I agree to the above disclosure statement and wish to submit my application.NameSubmit