First Name *

Surname *

Home Phone

Mobile *

Email Address *

Street Number

Street Name

Suburb

City

Post Code

Photo id (e.g. Drivers License or passport)

Position Sought

Job Title

Locations

Type
Permanent Contract Fixed Term Contract

Environment
Agency Internal HR Other

General Details

Minimum Salary Expectations

Notice Period/Availability

Minimum Hourly Rate

Desired Weekly Hours

Sector Recruitment Experience
Accounting & Finance Advertising Agribusiness Airline Architecture Armed Forces Automotive Banking Business Support Commercial Construction & Property Contact Centre Digital Education Engineering Environmental Executive Executive Leasing Facilities Management Financial Services FMCG Freight Forwarding Generalist Government & Public Sector Healthcare Hospitality HR Industrial Information Technology Insurance Journalism Labour Hire Legal Manufacturing Marketing Media Mining Oil & Gas Pharmaceutical Power PR & Communications Procurement & Supply Chain Real Estate Retail Sales Scientific Tech & Ops Technology Telecommunications Tourism Town Planning Transport & Logistics Utilities Volume Recruiter Other

Are you a New Zealand Citizen or Permanent Resident? *
Yes No

Do you have or have you had an injury or illness, physical or mental, which may prevent you from performing certain work related tasks relevant to potential employment we may find for you? *
Yes No

Please provide details

Have you ever been found guilty of a criminal offence, not including any concealed under the Criminal Records (Clean Slate) Act 2004? *
Yes No

Please provide details

Are you awaiting the hearing of any charges in a civil or criminal court of law? *
Yes No

Please provide details

Referees

Please give the name, contact numbers and email addresses of two referees, who should be people you reported directly into, one should be your current or most recent employer. No contact will be made before permission is obtained from you.

Reference 1

Name

Position

Organisation

Contact Number

Email

Reference 2

Name

Position

Organisation

Contact Number

Email

Declaration

I hereby authorise Rice Consulting to contact the work related referees for the purpose of obtaining work related verbal references in its search for employment on my behalf. I consent to Rice Consulting retaining the information contained in this application form for the purposes of considering my suitability for positions that may arise with Rice Consulting and authorise the disclosure, copying and printing of this profile and CV to potential employers by Rice Consulting in its capacity as a recruitment consultancy. I agree to hold confidential all details given to me of assignments, clients companies and job opportunities.

I confirm that all the above information and details I have provided in this registration form and (if applicable) in my CV provided are accurate and true and I understand that should any false or deliberately misleading information be given or any material fact suppressed, I will not be accepted, or if I am employed, my employment will be terminated.

Name *