Employment Interest Form Employment Interest Form Section 1: Personal Details First Name * Last Name * Email * Mobile Number * Other Phone Number Physical Address (NZ regions Nelson/Tasman, Marlborough, West Coast) * Physical Address (NZ regions Nelson/Tasman, Marlborough, West Coast) Line 1 Line 1 Line 2 (optional) Line 2 (optional) Town/City Town/City Region Region Postcode Postcode Do you have a current NZ Driver’s License? * Yes No License type Full Restricted Learners OtherOther How will you get to work? * Car Bicycle / Walk / Public Transport Other reliable transportOther reliable transport If required, will you pass a drug test? * Yes No If required, will you consent to a criminal history check? * Yes No If you are human, leave this field blank. Next Section >>