Cheznous Online Store - Online Application

Please complete the application form below to become a Chez Nous Consultant.

We look forward to speaking with you in the coming few days.

Surname:

First Name(s):

Name you prefer to be known by:

Address:

Suburb:

City:

Phone (home):

Phone (work):

Phone (mobile):

Email:

Date of Birth:

Do you own a reliable vehicle?:

Yes
No

Do you have a current drivers license?:

Yes
No

License number::

Please summarise your employment highlights:

What is your current employment situation? (e.g. working fulltime/part time, full-time Mum etc...):

What would you describe as your greatest achievements:

What are your top three personal goals and how quickly would you like to achieve them?:

(1):

(2):

(3):

What do you consider to be your greatest strengths?:

What is your motivation for joining The Chez Nous NZ team?:

All details as entered on this form are true and accurate:

Yes

Referring Consultant:

Required field