Assessment Booking Form

Company Details
Company name:
Physical Address:
Requested By:
Date of Request:	(DD/MM/YYYY)
Department:
Cost Centre/Order number:
Telephone Number:	(Include country code and area code)
Email Address:
Date you need results by:	(DD/MM/YYYY)

Invoicing Details
Person Responsible for Account Payment:
Invoice To:
Postal Address:
Telephone Number:	(Include country code and area code)
Fax Number:	(Include country code and area code)
Email Address:
VAT Number:

Job Details
Job Title:
Level of Job:
Reason for Assessment:

Candidate Details
Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 1 candidate)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 2 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 3 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 4 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 5 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 6 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 7 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? select this option when booking the same assessment battery for more than 8 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 9 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 10 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 11 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 12 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 13 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 4 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 15 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 16 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 17 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 18 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:
Do you wish to enter additional Candidates details ? (select this option when booking the same assessment battery for more than 19 candidates)

Candidate Name:
Candidate Birth date:	(DD/MM/YYYY)
Internal / External:
Telephone Number:	(Include country code and area code)
Email Address:
Date of Assessment:	(DD/MM/YYYY)
Place of Assessment:
Time of Assessment:

Assessments Required Please tick (can pick multiple options to order a test batch)
Career Path Appreciation (CPA) (3 hours)		Initial Recruitment Interview Schedule (IRIS) (1.5 hours)
Modified Career Path Appreciation (MCP) – electronic (1.5 hours, validation is telephonic)		Occupational Personality Questionnaire (OPQ) (1 hour)
BarOn EQi (1 hour)		Occupational Personality Profile (OPP) (1 hour)
General Reasoning Test (GRT)		Critical Reasoning Test Battery (CRTB) (2 hours)
15 FQ+ (1 hour)		Learning Potential Computerised Adaptive Test (LP CAT) (1 hour)
Role-Play Exercise
Case-Study Exercise/In-Tray Exercise
Full Assessment Centre

Other:

Select the competencies required for the job, by rating their importance for performance on the scale to the right of each competency.
(Some options open further sub-options)

Interpersonal & Communication Skills/Preferences:

None Low Average Critical

Analytical & Problem Solving:

None Low Average Critical

Task Planning & Monitoring:

None Low Average Critical

Task Planning:	None Low Average Critical
Task Monitoring:	None Low Average Critical

Compliance:	None Low Average Critical
Innovation & Creativity:	None Low Average Critical
Leadership:	None Low Average Critical

Customer Focus:	None Low Average Critical
Administrative/Clerical:	None Low Average Critical

Business Acumen:	None Low Average Critical
Change Management/Orientation:	None Low Average Critical
Learning Potential:	None Low Average Critical
Capability:	None Low Average Critical
Drive:	None Low Average Critical
Resilience:	None Low Average Critical

Your Requirements
Full Written Feedback		Without Written Feedback
Integrated Report - (Results for 1 candidate integrated - can be compared to job spec.)		Comparative Report - (Results for 2 or more candidates integrated - can be compared to job spec.)

Additional Comments:

Important Note: Cancellation and No-Show Policy "No-shows" and late cancellations will be charged for in full, EXCLUDING the cost of the form. Cancellations must be made at least 48 hours in advance to avoid incurring fees.
	Please tick this box to state that you have read the above "no-show" policy.

Assessment Booking Form

Company Details

Invoicing Details

Job Details

Candidate Details

Assessments Required

Your Requirements