TitleMrMrsMissMsOtherFirst Name*Last Name*Email* Mobile*AddressCurrent EmployerPositionCurrent SalaryBonusOther BenefitsSalary ExpectationsNotice PeriodReference Checking Please provide two referees and complete this section even if your referees are in your resume. Please ensure your referees are previous managers and that you directly reported to them. These referees need to be from either your current role or two previous roles. Please ensure your referees are aware you have nominated them. Referee 1 NameCompanyJob TitleContact NumberContact Email Referee 2 NameCompanyJob TitleContact NumberContact Email Please note that Alexander James will not conduct any reference checks without your express permission.I, hereby give permission for the nominated referees named above to be approached as referees concerning my application. I agree that these referees are able to comment on my previous or current employment. I state that the nominated referees are not personal friends or relatives.*YesNoAre you registered with any other Recruitment Agencies or Executive Search firms?YesNoIf yes please provide details:*How did you hear about Alexander James?Do you have any criminal convictions?YesNoIf yes please provide details:*Do you have permission to work in New Zealand?YesNoIf yes please provide details:*Do you have any health issues or a disability relevant to the position or role you seek?YesNoIf yes please provide details:*Contracting SectionDo you trade through a limited company? If yes, please list the trading name belowDo you already have your own Professional Indemnity Insurance? If yes, please provide details belowAre you GST Registered?YesNoConfidentiality Statement I understand that in my discussion with Alexander James Ltd, I may be party to confidential information of Alexander James Ltd and/or their clients. Furthermore, I may have available to me, information which at all times is to remain the property of the Alexander James Ltd and/or their clients. Under no circumstances am I to disclose or retain information or any other intellectual property relating to either Alexander James Ltd or any of their clients which may come to my knowledge.I hereby give Alexander James Ltd permission to represent me in my job search.YesNo Data Protection Statement The information that you provide on this form and on any CV given will be used by Alexander James Limited to help provide you with employment opportunities. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients. We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.Read and Understood*YesNo Privacy Statement In accordance with The Privacy Act 1993, you are entitled to access this information upon request to this company’s Privacy Officer where the information is held.Read and Understood*YesNoEqual Opportunities Alexander James is committed to a policy of equal opportunities for all work seekers and shall adhere to such a policy at all times and will review on an on-going basis on all aspects of recruitment to avoid unlawful or undesirable discrimination. We will treat everyone equally irrespective of sex, sexual orientation, marital status, age, disability, race, colour, ethnic or national origin, religion, political beliefs or membership or non-membership of a Trade Union and we place an obligation upon all staff to respect and act in accordance with the policy. Alexander James will ensure that each candidate is assessed only in accordance with the candidate’s merits, qualification and ability to perform the relevent duties required by the particular vacancy.Read and Understood*YesNoCandidate Declaration I confirm that the above information is correct.SignatureDate Date Format: MM slash DD slash YYYY UploadCV*Accepted file types: doc, docx.Identification*Accepted file types: doc, docx.(We only accept a Passport for non-New Zealand Citizens to prove eligibility to work in New Zealand)Covering Letter*Accepted file types: doc, docx.NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.