Rose and Clive

Name *

First Name

Last Name

Please tick all of those that apply:

I have the legal right to work in New Zealand

I am an NZ resident

I hold a work permit

I have secondary employment

I am awaiting the hearing of charges in a criminal court of law

I understand regulation 56/ New Zealand's Anti Smacking Laws

I believe I am safe to work with children

Declaration: Please tick all of those that apply:

I declare that my answers in this application are not misleading and are true

I declare that there is no further relevant information that needs to be disclosed

I acknowledge that if Rose and Clive employs me then they are relying on the truth and completeness of my answers and therefore if I have not answered truthfully, Rose and Clive may withdrawal any offer of employment of terminate employment without notice