APPLICATION FOR EMPLOYMENT

Employees of The Video Shop are expected to fully support the aims and goals of the company and will be encouraged to develop their talents and abilities through our performance evaluation and training structure. You should complete this form only if you are prepared to give 100% effort in delivering outstanding customer service and you are willing to strive for the high standard of presentation that will be required of you.

Full Name:

Date of Birth:

Address:

Home Phone:

Mobile or Alternative Phone:

Contact Email:

Position Applied For:
(check your preferences)

FULL TIME
35+ Hrs per wk

PART TIME
10 - 35 Hrs per wk

PERMANENT
More than 1 year

TEMPORARY
Less than 1 year

Other please specify:

Which branch(es) would you most like to work at?
(check your preferences)

MEADOWBANK

EASTRIDGE

MARKET ROAD

Are you entitled to work in New Zealand, please select one of the following:

New Zealand Citizen
New Zealand Permanent Resident
Australian Citizen/Permanent Resident
Holding An Open Work Permit
Holding A Student Visa/Permit

Other (please specify)

Have you ever worked in a Video Shop before?

Yes No

If yes please indicate when, where, and your reason for leaving:

Our trading hours are:

Sunday - Thursday, 9:00am - 10:00pm Friday & Saturday, 9:00am - 10:00pm

Are there any times, during our trading hours, that you are not able to work due to other commitments?
(please provide details)

Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:

What is the mininum number of hours you wish to work each week?

What is the maximum number of hours you wish to work for each week?

Do you have any other comments regarding your availability that we should know about?

If your application is successful, when could you start?

Two Most Recent Employers: If not applicable, list work performed on a voluntary basis or personal referees.

Title:
Name of Employer:
Company:
Address:
Phone No:
Dates empoyed from:		To:
Reason for leaving

Title:
Name of Employer:
Company:
Address:
Phone No:
Dates empoyed from:		To:
Reason for leaving

Health

Do you suffer from any disease or ailment which might affect your work performance or regular attendance at work, or the health and safety of yourself or others at work?

Yes No

Details:

Criminal History

Have you in the last five years been convicted of a criminal offence (excluding misdemeanor of traffic violations), or been referred for a diversion or have charges currently pending?

Yes No

Details:
(A conviction will not necessarily bar you from employment)

Please list any previous experience you consider relevant:

Why would you like a position at The Video Shop?:

Are you prepared to allow us to keep your information on file?

Yes No

Congratulations your almost there, just check that you have read and understand each of these statements:

1. I certify that the information contained in this application is correct to the best of my knowledge and understand that any omission or erroneous information is grounds for instant dismissal in accordance with The Video Shop's policy.

2. I authorise the references listed above to give The Video Shop any and all information concerning my previous employment.

3. I understand that if I am offered employment with The Video Shop, I will be required to sign an Employment Agreement before commencement.

Thank you for your your interest in employment with us. Your application will be registered in our recruitment system and kept on file for 3 months. We will contact you should a suitable position arise in that time. Please update the details on your application form every three months if you wish to remain on our employment pool records.