Land & Sea Civil Limited
Employment Application Form

To be completed personally by the Applicant.

This Employment Application Form (form) is a source of information which will be used by Land & Sea Civil Limited (LSC) to assist it in considering your suitability for the position for which you are applying. If you are a successful applicant, the information contained in this form will form part of our records and may also be used by LSC to assist it with matters in connection to your employment.

You do not have to fill out this form, it is voluntary. However, if you don’t complete this form, or you do not provide honest and complete information in this form, LSC may not progress your application or it might prejudice our ability to assess your suitability for the position you are applying for. 

You are entitled to access and request that the information provided in this form be corrected at any time, pursuant to the Privacy Act 2020.

If requested, we will destroy this information if you are an unsuccessful candidate. If you are an unsuccessful candidate, the information contained in this form will not be kept for longer than necessary.

Please note that this is not an offer of employment, and your completion of this form does not indicate that employment will be offered to you.

Are you legally entitled to work in New Zealand

If this is by way of a work visa, please provide the following information

First Aid
Do you have a current First Aid Certificate
Construct Safe
Do you have Construct Safe?
SLMP
Do you have a SLMP (Slinging, Lifting, Moving, Placing) Certificate?
Fire Warden Certification
Do you have a current Fire Warden Certificate?
Trench Training Certification
Have you participated in Trench Training?
Spill Response Training
Have you completed Spill Response Training?
Do you have a full New Zealand Driver Licence
Drivers License Details
What class do you have?
Please select license endorsements
Are you currently employed?

If yes please complete the following about your current employer, if no please complete with your last employer

Legal - please tick if any of the following apply to you
Medical - Think about what you would be doing in the role that you are applying for. It is very physical and labour intensive. With that in mind, do you have any physical or psychological condition or impairment that could impact on your ability to safe
Have you ever previously held or applied for a position with LSC?
Have you ever been subject to performance or disciplinary action (i.e. warning or dismissal) in employment?
Do you have secondary employment or any interests that may conflict with your ability to perform the role you are applying for?
Do you have any relatives or know any person currently employed by LSC?
Do you consent to LSC retaining the information contained in this form for the purposes of considering your suitability for any other position which may arise with LSC in the future?