Recruitment Application Form

Your Details

Full Name

Preferred Name

Email

Where can we contact you?

Your Postal Address

Home Number

Mobile Number

How did you hear about this job?

Newspaper Trade Me Word of Mouth Radio Other

Getting to know you

To help us get to know you as an individual, please write a short paragraph in response to each of the following questions:

Tell us about yourself

What or who inspires you?

If we were to ask your employers and/or peers to describe you, what would they say?

Working at Pumice

Would you prefer to work in a...

Service Role Management Role

Where would you like to work at Pumice?

Bistro Kitchen Bistro Restaurant Bistro Bar Deli / Retail

Your Previous Work Experience

Employer

Start Date

Finish Date

Position

Brief Summary of Role

Employer

Start Date

Finish Date

Position

Brief Summary of Role

Employer

Start Date

Finish Date

Position

Brief Summary of Role

Employer

Start Date

Finish Date

Position

Brief Summary of Role

Your Referees

Please provide us with the details of two referees. At least one of these should be related to your previous employment.

Referee One Name

Company

Contact Number

Referee Two Name

Company

Contact Number

Your Declaration

I understand that when I submit my expression of interest for a role at Pumice, I am confirming that the information provided in this form is correct to the best of my knowledge. I consent to Pumice seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released by them to Pumice for the purposes of ascertaining my suitability for the position I am applying for.

Please do not fill this field in