Assessment Booking Form
Company Details
Customer Account Number
Company Name
Physical Address
Street code
VAT Number
Requested By
Date of Request (eg. dd/mm/yyyy)
Department
Telephone Number
Email Address
Confirm Email Address
I would like my email address to be added to the Bioss database and receive news and updates?
Yes
No
Date Results Needed (eg. dd/mm/yyyy)
Invoicing Details
Person Responsible for Account Payment
Cost Centre
Does your PO number need to be on your invoice in order for payment to be made?
Yes
No
PO Number
Invoice To
Postal Address
Postal code
Telephone Number
Fax Number
Email Address
Confirm Email Address
Job Details
Job Title
Level of Job
Reason for Assessment
Selection (Job Application)
Development
Candidate Details
Candidate Name
Candidate Birth Date (eg. dd/mm/yyyy)
ID Number
Internal/External
Internal
External
Telephone Number
Email Address
Confirm Email Address
Date of Assessment (eg. dd/mm/yyyy)
Place of Assessment
Time of Assessment
Enter the number of candidates
(Use this field when booking
the same assessment battery
for more than one candidate)
Assessments Required
Please tick (can pick multiple options to order a test batch)
Capability
MCPA STANDARD REPORT(MCPA - S)
IRIS
CPA STANDARD REPORT(CPA-S)
MCPA generic report(MCPA - g)
CPA generic report(CPA - g)
MCPA-SCAN
Personality
MBTI
OPQ (OPQ)
15FQ+ (15FQ+)
LPA
Hogan
Giotto assessment(Giotto)
16 Personality Factor Questionnaire(16PF)
Personal Development Analysis(PDA)
Ability Assessments
LP CAT
CTB
Verify
CRTB2
Wechsler Adult Intelligence Scale(WAIS)
GRT(GRT)
Apil B(Apil lB)
Cognitive Process profile(CPP)
Situational Judgement Test(SJT)
Elite Intellectual Profile(EIP)
Elite Skills Profile(ESP)
Simulation Exercises
Intray (2)
Role Play
Intray (3)
Presentation
Data Services
Mode Plot
Updated Report
Genie Results
Reports
Comparative Report
Integrated Report
360 Assessments
ELDI(ELDI)
Integrity Assessments
IP 200(IP 200)
Emotional Intelligence Assessments
Bar-on Eqi(EQI)
Custom Assessment
Customised Psymetric(CPSY)
Other
Your Requirements
Candidate Feedback
Management Feedback
1. Would you like your assessment coordinator to contact you before booking these assessments?
2. Who is Custodian trained in your organisation?
What is this?
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.