2025 Employment Application Form

  • Employment Application

    If you have any queries relating to your application, please contact Anneli Tapper 021 194 1882. Due to a high volume of applicants, only shortlisted candidates will be contacted.
  • Date of Birth*
     - -
  • Location

  • Personal Details

  • Legal Work Status

  • Education

  • Job Skills & Training

  • Additional Information

  • Alton Drilling Ltd are proactive with training and upskilling staff, please let us know if you require assistance with any of the following:*
  • To help us help you, tell us which way you find easiest to learn a new task by:*

  • Employment History

  • Present or Most Recent Employer

  • For the purposes of compliance with the Privacy Act 2020 & the IPP3A do you consent to the company contacting your present employer for the purpose of reference checking?*

  • Next Most Recent Emplolyer

  • Have you ever worked for Alton Drilling or an associated company?*
  • Do you have secondary employment?*

  • If YES please give details:

  • Referees

  • References  Please list two (2) references that are familiar with your work life.

    In accordance with the Privacy Act 2020 (Information Privacy Principle 3A), we advise that any information collected from your referees will be used solely for the purpose of assessing your suitability for employment.

    This information will be:

    Collected directly from the referees you have nominated
    Held securely on your confidential employee file
    Accessible to you upon request

  • Reference 1
  •  -
  • Reference 2
  •  -

  • Consent

  • I consent to the company seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released by them to the company for the purpose of ascertaining my suitability for the position for which I am applying. I understand that the information received by the company is supplied in confidence as evaluative and will not be disclosed to me.

    This is necessary for compliance with the Privacy Act 1993.

  • General

  • Are you prepared to work shifts if required to do so?*
  • Have you worked shifts before?*
  • Are you willing & confident working in remote and bush sites?*
  • Are you a smoker?*
  • Do you have any present criminal convictions?*
  • Have you been subject to Diversion ordered by the court?*
  • Are you awaiting the hearing of charges in a civil or criminal court of law?*
  • Are you prepared to handle all products, materials, or equipment used in there industry?*
  • Do you hold a current New Zealand drivers licence?*
  • Do you have a spouse, partner, or relative working here or elsewhere in the same industry?*
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  • Medical

  • If you are offered employment the offer may be subject to you obtaining a full medical clearance (by completion of a medical examination) to assess your fitness for the job for which you are apply.

  • Do you consent to undergo a Medical Examination?*
  • Do you consent to any biological monitoring in accordance with the Health and Safety in Employment Act 1992 if applicable?*
  • Do you consent to releasing the latest 90 days of your medical and ACC records to our medical practitioner team for review?*

  • Privacy Act Consent

  • Do you consent to the company retaining the information contained in the application form for the purpose of considering your suitability for any other position which may arise with this company in the future?*

  • Declaration

  • I (FULL NAME) declare that to the best of my knowledge the information provided in this application form and in my resume enclosed is true and correct. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of employment. I understand that this application does not constitute an offer of employment. I understand that, in some cases, police and credit checks will be required and I will be notified if this applies to this application.

  • The completion of this application form does not indicate that there is an obligation on the company to engage the applicant. this information is collected for the purpose of assessing your suitability for employment at Alton Drilling Limited which may include subsequent changes in employment with the company.

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