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Please complete the form below and Mr Clean will get back to you inside an hour*!(*within business hours).

Name: *

Email: *

Contact Phone Number: *

Region: *

First name:

Cleaning Job: *

Details:

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Mr Clean Ltd

Employment Application for Mr Clean Ltd

Your Details:
Surname: *

First Names: *

Address: *

Home Phone:

Mobile Phone:

Are you a NZ Citizen: *



If not, are you legally entitled to work in New Zealand:



Do you have any disability: *

Do you have any medical condition: *

Do you have any criminal convictions, or cases pending: *

I agree to sign a Police Check Form: *



Do you have a current drivers Licence: *



Employment History:
Last two Positions
1: *

2: *

Referees:
Names and Contact Numbers of three Employees
1: *

2: *

3:

Attach a supporting digital file (ie CV or scanned reference):


Browse your hard drive to find the file to attach, then when the form is submitted, your file will be attached.
If your application is acceptable when can you start? *

I declare that the information I have supplied above is correct. I understand that if any or misleading information is given, or any relevant facts suppressed, it may lead to the termination of my employment and may dis-entitle me to compensation under the ACC Act.: *



Any other information that might be useful ie. Which area do you want employment/times etc:

 
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Page: Employment Form - Last Updated: 23rd February, 2012 | Site Map