ReferralProgram {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

ReferralEmployeeID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SeasonID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Referred By {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Source {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

ApplicationUID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

URLRedirect {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Personal Details

IP Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

CountryCode {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Which region do you want to apply for? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

{binding LiveInRegion_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

{binding ArrivalDate_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SiteID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Also Known As {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Mobile Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Current Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Nationality {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have a NZ drivers licence? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have a Forklift Licence or OSH Certificate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have a Truck Licence? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If other, please provide the details: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you applying with another person? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, enter name(s) below

Name {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you related to anyone who is currently employed by Apata? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, enter name(s) and relationship below

Name {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Relationship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Work History

Are you a returnee applicant? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

ReturneeSiteID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have any previous experience in another Packhouse or coolstore? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, company name and position details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you currently working? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, please provide details of your employment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you legally entitled to work in NZ? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please attach a copy of your passport/birth certificate (AU/NZ residents) OR a copy of your visa and passport (non NZ/AU residents). {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

What other skills, education or work experience do you have? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Do you give permission for us to speak with your previous employer for the purpose of reference checking? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Previous Employer Details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Preferred Work

Type of Work {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

ShiftID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Monday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tuesday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Wednesday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Thursday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Friday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Saturday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Sunday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Preferred Position(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Other Details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Medical

Have you or do you suffer from any of the following? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you wear glasses? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you claimed for ACC in the previous 12 months? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you had an injury or medical condition caused by gradual process, disease or infection, that may be aggravated or further contributed to by the tasks of this job? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have any injuries or illnesses that may affect your ability to effectively carry out the functions and responsibilities of this position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have medication that needs to be with you at all times while at work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have any underlying medical conditions that puts you at higher risk during the Covid-19 pandemic, such as serious respiratory disease, lung disease or moderate to severe asthma, serious heart conditions, immunocompromised conditions, diabetes, chronic kidney disease, people undergoing dialysis; and liver disease? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If you answered yes to any of the above questions, please provide details: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Declaration and Consent

Do you have any criminal convictions? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, please provide details of the convictions below: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are there any charges pending against you? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, please provide details of the charges below: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you required to attend Periodic Detention? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, please provide details below: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

I declare that all information supplied in this application and any resume provided is true and correct and I understand that if any false or deliberately misleading information is given, or any material fact suppressed, I will not be accepted, or if I am employed, my employment may be terminated. I also understand that any false information given in relation to my medical history with regards to gradual process, disease or infection can result in my loss of entitlement for any compensation from ACC.

I understand that Apata Group Limited recognises its responsibilities and obligations imposed under the Health and Safety in Employment Act 2015 and to this purpose I may be asked to undergo a pre-employment drug/alcohol test. I also acknowledge that I may be drug/alcohol tested, following a workplace accident/incident, reasonable cause, randomly or internal transfers.

I understand I will need to abide by the strict protocols under Covid-19 while employed by Apata Group Limited, failure to follow these protocols is deemed as serious misconduct.

I consent to Apata Group Limited sharing information from or providing information to Government Agencies including WINZ for employment related purposes. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}