Face to Face Interviewer – Application Form

Title (Mr/Mrs/Ms/Miss):

First Name (required)

Last Name (required)

Address (required)

PostCode

Home Telephone (required)

Mobile Telephone

Alternative Contact Number

Your Email (required)

Employment History

Present or Last Employer

Company Name

Company Address

Job Title

Duties

Start Date:


End Date:


Skills and Interests

Briefly describe your skills and experience

Do you speak any languages other than English?:

YesNo

If yes, please specify

General


Do you hold a current driving licence

YesNo



Have you ever been convicted of a criminal offence? (Declaration subject yo the Rehabilitation Act)

YesNo



Have you ever applied to us for a job before?

YesNo

If yes, when?







Availability




What is the maximum number of days you would like to work each week?


Confirmation


I confirm that the information in this application is accurate and complete

I understand that, if I am offered interviewing work, references will be taken up.


Name (required)



Date (required)




If so, do you have use of a vehicle for work purposes?

YesNo



Have you ever been disqualified from working with children or had any other restrictions placed on your employmnet

YesNo



Have you ever worked as a face to face interviewer for other market research companies?

YesNo

If yes, please state which companies


Please state if they are iso 20252 or IQCS certified

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