Employment Application

    Personal information


    Do you suffer from any physical, mental or health condition likely to affect the full performance of your duties? This includes any current/previous ACC Claims within the last 2 years.

    Have you ever been diagnosed with/ and treated for occupational over-use syndrome or any other similar condition?

    In your past employment have you been exposed to any of the following; noise, solvents, asbestos, skin irritants, heavy metals, infectious metals?

    Do you have a predisposition to any other condition that you are aware of, including but not limited to asthma, heart or respiratory problems, high blood pressure or communicable diseases (eg. HIV, Hepatitis).

    Additional information

    If your application is successful, when could you start work?

    Note: Detail company name, position held and approx. start and finish dates, or attach CV in next field.

    Please upload your CV. This may be in plain text, pdf or Word document format. Any issues please contact Kyla Hughson during office hours 06 751 9221. If you do not have a CV please include past 5 years employment above.

    Please upload any other relevant qualifications or certificates e.g. first aid certificates, approved/certified handlers certificate, forklift certificate. This may be in plain text, pdf or Word document format. Any issues please contact Kyla Hughson during office hours 06 751 9221.

    Work experience

    Choose the options which most describe your level of experience for each category.

    Entitlement to work in NZ

    Any questions or comments you would like to have recorded.

    TORO check authorisation

    Class 1 - Car licenceClass 2 - Medium rigid vehicleClass 3 – Medium combinationClass 4 – Heavy rigidClass 5 – Heavy combinationW – WheelsT - TracksR - RollersF – ForkliftD – Dangerous GoodsP – Passenger Endorsement

    Please upload a copy of both the front and back of your drivers licence (use the field below if you have two separate files to upload) - If you do not hold a Drivers Licence please upload some form of ID. File must not exceed 8MB. If you are unable to upload using this webform, please email copy to admin@symonsgroup.co.nz or call Kyla Hughson on 06 751 9221.

    I consent to Symons Group using TORO (Transport Organisation Register Online) through the New Zealand Transport Agency for the purposes of ensuring that I am fully licensed at all times and/or to monitor my licence status and activity.

    View TORO terms and conditions.


    1. I declare that the answers to the questions in the application are true and correct and I understand that the information requested within this application form is sought to establish my suitability for the position that I am applying and that if I do not provide such information then this application for employment may be rejected.

    2. I note that any offer of employment does not constitute an employment agreement until a separate agreement has been evidenced in writing and signed by Symons Group and myself.

    3. I am not aware of any personal circumstance, medical condition or disability that would limit my ability to adequately perform the role for which I seek appointment.

    4. I accept that, should my application be successful, the foregoing information will form part of my contract of employment and falsification of any information is grounds for dismissal.

    5. Writing your full name in the box below acknowledges you agree with the above declaration.

    Please type your full name as confirmation that the above information is correct.

    If you're having issues submitting the form please contact us.