Bed Bath and Beyond Application Form - DOC - DOC by raq19807

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Bed Bath and Beyond Application Form document sample

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									                                                                        13 – 15 Porchester Road
                                                                                 PO BOX 72-347
                                                                                     PAPAKURA
                                                                                     AUCKLAND
                                                                          Phone: 09 295 1010
                                                                              Fax: 09 295 1019




Dear Sir/Madam


Thank you for enquiring for a position with Shanton Apparel (NZ) Ltd
(encompassing Bed Bath and Beyond and Shanton ENZ).

Attached is an application form. Please complete this and return to us signed via fax,
email careers@shanton.co.nz or post to the above address.

Please ensure you clearly indicate which store you are applying for e.g. Shanton or Bed
Bath and Beyond and the location of the store.

Should you have any queries at all, please do not hesitate to contact us.


Yours sincerely,




Shannon Moerland
Personnel Coordinator
                         EMPLOYMENT APPLICATION FORM
                             (All details provided will remain strictly confidential)
                (If available please provide a copy of your C.V. with your application form)
                                         PERSONAL DETAILS
APPLICANT’S FULL NAME:                                                   DATE OF APPLICATION:

HAVE YOU BEEN KNOWN BY ANY OTHER NAMES?                                  STORE APPLYING FOR:
(eg. maiden name - if yes please state names)
ADDRESS:                                                                 LOCATION:

Postcode:
                                                                         POSITION APPLYING FOR:
HOW LONG AT THIS ADDRESS:

PREVIOUS ADDRESS:                                                        PREFERRED HOURS OF WORK:


CONTACT NUMBER: Home Work                                                DO YOU HOLD A CURRENT NZ
                Mobile Other                                             DRIVERS LICENCE?

ARE YOU LEGALLY ENTITLED TO WORK IN N.Z.?


                                    CURRENT WORK SITUATION
CURRENT EMPLOYER:                                                 COMMENCEMENT DATE:

POSITION HELD                                                    CURRENT HOURS OF WORK:
KEY RESPONSIBILITIES:



ADDRESS OF EMPLOYMENT:
PERIOD OF NOTICE REQUIRED:
REASON FOR INTENDING TO LEAVE:

DO YOU OBJECT TO INQUIRIES WITH YOUR CURRENT EMPLOYER?
CONTACT PERSON                                    CONTACT NUMBER:

             PREVIOUS WORK HISTORY (please list in order of most current)
NAME OF EMPLOYER:

DATES OF EMPLOYMENT:        FROM:                                      TO:
POSITION HELD:
KEY RESPONSIBILITIES:



ADDRESS OF EMPLOYMENT:
REASON FOR LEAVING:

CAN WE CONTACT THEM? (please authorise by signing)

CONTACT PERSON:                                            CONTACT NUMBER:




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                            PREVIOUS WORK HISTORY (Continued))
NAME OF EMPLOYER:

DATES OF EMPLOYMENT:       FROM:                              TO:
POSITION HELD:
KEY RESPONSIBILITIES



ADDRESS OF EMPLOYMENT:
REASON FOR LEAVING:

CAN WE CONTACT THEM? (if yes, please authorise by signing)

CONTACT PERSON:                                      CONTACT NUMBER:

NAME OF EMPLOYER:

DATES OF EMPLOYMENT:       FROM:                              TO:
POSITION HELD:
KEY RESPONSIBILITIES:



ADDRESS OF EMPLOYMENT:
REASON FOR LEAVING:
CAN WE CONTACT THEM? (if yes, please authorise by signing)
CONTACT PERSON:                                       CONTACT NUMBER:

NAME OF EMPLOYER:

DATES OF EMPLOYMENT:       FROM:                             TO:
POSITION HELD:
KEY RESPONSIBILITIES:



ADDRESS OF EMPLOYMENT:
REASON FOR LEAVING:
CAN WE CONTACT THEM? (if yes, please authorise by signing)
CONTACT PERSON:                                       CONTACT NUMBER:

NAME OF EMPLOYER:

DATES OF EMPLOYMENT:       FROM:                             TO:
POSITION HELD:
KEY RESPONSIBILITIES:



ADDRESS OF EMPLOYMENT:
REASON FOR LEAVING:
CAN WE CONTACT THEM? (if yes, please authorise by signing)
CONTACT PERSON:                                       CONTACT NUMBER:




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                              EDUCATION / TERTIARY EDUCATION
NAME OF SECONDARY SCHOOL ATTENDED:
FROM:                          TO:
QUALIFICATIONS GAINED:




NAME OF TERTIARY PROVIDER:
FROM:                                   TO:
QUALIFICATIONS GAINED:




                                 GENERAL INFORMATION (Yes/No)
Are you prepared to work rosters?

Have you made any claim to ACC of any injury, illness or condition?
(If yes please detail)
Have you ever been convicted of a criminal offence including Traffic and Driving Offences?
(if yes, please provide details)
Have you ever been involved with the Police? (if yes please provide details)

Do you know any person currently employed by this company?

Have you previously been employed by this company?
(if yes please detail)
Due to the nature of 7 day trading and rosters, is there any reason you foresee which may
affect your ability to fulfil your required duties within the position applied for?




              REFEREES (list at least two please – other than family or friends)
             Name                     Contact Number                  Relationship of Contact




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                                                DECLARATION

1) I, __________________ (print full name) declare that to the best of my knowledge, the answers to the
   questions in this application form are correct, and I understand that if any false information is given, or any
   material fact suppressed, I may not be accepted, or if I am employed, I may be dismissed.

2) I irrevocably authorise you or your agent to contact all my previous and current employers, including any
   employers that I have not nominated on this application. Information so gained, is supplied in confidence as
   evaluative material and will not be disclosed to me.

3) If the named referee is not authorised to speak on behalf or the Company, or not available, inquiries can be
   made with the manager or duly authorised person.

4) If required, inquiries may be made with the Accident Rehabilitation & Compensation Insurance Corporation
   (ACC).

5) As part of this application being actioned, a credit check may be done through BAYNET CRA LTD.

6) Shanton Apparel (NZ) Ltd uses the Employrite Limited system for reviewing applicants and for recording the
   reasons for terminations of employment. Employrite is a private provider of references to employers.

7) If you are successful in obtaining employment with Shanton Apparel (NZ) Ltd your application will be
   reviewed by Employrite Ltd. If you leave your employment, the reason you left will be recorded on the
   Employrite system.

8) By completing this application you agree to your application being reviewed by Employrite. You are entitled
   to seek access to the material held by Employrite about you. However, the Privacy Act also allows us to
   refuse access in some circumstances. If you do not agree with the information held about you by Employrite
   you may ask that it be corrected. Employrite can be contacted at PO Box 26 624, Epsom, Auckland.

9) I further irrevocably authorise you to furnish to any third party, details of this application and any subsequent
   dealings that I may have with you as a result of this application being actioned by you.

10) I irrevocably authorise Employrite Ltd to furnish to the company processing this application with Employrite
   Ltd, the details of any Criminal History or Driver History.

11) Please note: - All details provided will remain strictly confidential and will be used only for the
   purpose of obtaining employment within Shanton Apparel (NZ) Ltd. If you are offered employment
   your application will then be released to Employrite Ltd for the purpose of pre-employment screening.
   Unsuccessful applications remain on file for a period of approximately 6 months after which time they
   are destroyed. You reserve the right to request that your application be returned should you not
   obtain employment with Shanton Apparel (NZ) Ltd.


I have read and fully understand this declaration


Signature:__ _________________________________ Date:_____________________


Application reviewed and authorised for screening by manager


Manager’s signature:_____________________________ Date:____________________




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