Area manager (only) Yes No

Field worker (only) Yes No

Either Position Yes No

Status Please Select Married Single Other

Sex Male Female

Residence Please Select Renting Own House Flatting Other

Phone (landline) ()

Phone (mobile) ()

New Zealand Passport YesNo

Other Passport Yes No

   Please specify

IRD Number YesNo

Driver's License YesNo

Are you legally eligible to work in New Zealand? YesNo

Have you any convictions for a criminal offence in any country? YesNo

Would you be prepared to allow us to apply for a Police clearance report? YesNo

Are you prepared to travel to a main centre for interviews and training? YesNo

Are there any factors (family, religion etc) that would prevent you from working on any day of the week? YesNo

A brief description of your current and/or recent employment
 

Do you know anyone who is connected with Borders Real Estate, Kate & Ted or Go4Multi? YesNo

A brief statement on what you believe qualifies you for this position
 

Are there any other matters we should be aware of that may impact on your ability to do the job? YesNo

Have you, or anybody in your immediate family or circle of friends, connection of any sort with any real estate company YesNo