Channel Advantage - PT Application Form


Welcome to Channel Advantage, the field marketing agency of choice for the leading technology and consumer electronics brands in the market. As a business built on, for and with people, we ought to click. We pride ourselves in being the employer of choice for the best demonstrators/field staff in the industry, in fielding the best account managers reputation can buy and in putting client relationships first. So, if you’re a switched on kind of demonstrator or merchandising professional with a keen interest in technology and consumer electronics, just fill in this form to register your interest in joining the part-time team. Note: you may wish to print this form first to make sure you have all the required information to hand before you begin. If you need any help completing the form, please contact our Booking Team on 01491 639 161.

Items that are required, have a "*" next to them, you must attach a photograph and a copy of your CV for your application to be validated.

Travel and Transport
What forms of transport do you have access to?		*
Do you have a full UK driving licence?	Yes No	*
How far are you willing to travel from home?	(Miles)	*
Do you have a place to store items we might send you to do your job?	Yes No	*
What type of car do you have (if any)?		*
Do you have a digital camera to take photos while working for us? (not a mobile)	Yes No	*

Reference
Please provide details of one reference
Name		*
Company		*
Position		*
Phone Number		*
Address		*

Files
Please upload a CV, and a passport photo here

CV		*
Passport Photo (jpg files only, and less than 200kb in size please)		*

Channel Advantage The Old Dairy, Stonor Park, Henley on Thames, Oxfordshire RG9 6HF T: +44 (0)1491 639 100 F: +44 (0)1491 639 166 E: info@channel-advantage.co.uk Channel Advantage © 2009-2010. home \| sign-up for news \| contact us

Personal Details
Title	Mr Mrs Ms Miss	*
Firstname		*
Lastname		*
Gender	Male Female	*
House name or Number		*
Address line 1		*
Town		*
County		*
Postcode		*
Landline Telephone		*
Mobile Telephone		*
E-Mail Address		*
Confirm E-Mail Address		*
Date of Birth	/ /	*
Nationality		*
Ethnic Group
National Insurance Number		*
Do you speak any of the following languages fluently? (i.e. can you hold a conversation)	Albanian Arabic Bangali Chinese Croatian English Farsi French German Greek Gujerati Hindi Italian Japanese Polish Portugese Punjabi Russian Serbian Somali Spanish Swahili Turkish Urdu Vietnamese
Do you have a Food Hygene Certificate?	Yes No	*
T-Shirt size		*
Do you currently hold a valid Airside pass which allows you to work within Airport retailer outlets? Please tick all that apply	Aberdeen Birmingham International Blackpool Bournemouth Bristol Cardiff Coventry Doncaster Sheffield Durham Tees Valley East Midlands Edinburgh Exeter Glasgow International Glasgow Prestwick Humberside Isle of Man Leeds Liverpool London City London Gatwick London Heathrow London Luton London Stanstead Manchester Newcastle Newquay Norwich Southampton
If you're a student, which university are you based at?
How did you hear about us?		*
If you heard from an existing member of staff, please put their reference number in here:

Experience
During any experience what was the highest role you held?		*
Please give details		*
Have you demonstrated Printers before?	Yes No	*
Have you demonstrated Cameras before?	Yes No	*
Have you demonstrated Satelite Navigation systems before?	Yes No	*
Have you demonstrated Software before?	Yes No	*
Have you demonstrated PC's / Operating Systems before?	Yes No	*
Have you demonstrated Games Consoles / Games before?	Yes No	*
Have you demonstrated Mobile Phone Handsets or Kit before?	Yes No	*
Have you demonstrated Cookware before?	Yes No	*

Experience Continued
Have you taken part in any of the following activities within any of the following stores? Tick all that apply

Merchandising (Correcting plannograms or rotating stock)	IT Retailers Music & Video Stores Mobile Phone Stores Games Stores Dept Stores Supermarkets
Demonstrating (Showing customers a specific product or products)	IT Retailers Music & Video Stores Mobile Phone Stores Games Stores Dept Stores Supermarkets
Mystery Shopping (Reporting back on findings in store without announcing you were present)	IT Retailers Music & Video Stores Mobile Phone Stores Games Stores Dept Stores Supermarkets
Auditing (Reporting back on findings in store)	IT Retailers Music & Video Stores Mobile Phone Stores Games Stores Dept Stores Supermarkets
Fixture Alterations (Changing in store displays)	IT Retailers Music & Video Stores Mobile Phone Stores Games Stores Dept Stores Supermarkets
Training (Training 1 or more people on a specific product or products)	IT Retailers Music & Video Stores Mobile Phone Stores Games Stores Dept Stores Supermarkets
Promotional Events (Promoting services or products, also includes experiential events etc)	IT Retailers Music & Video Stores Mobile Phone Stores Games Stores Dept Stores Supermarkets

Please give further details

Computing
When using your computer, do you?
Listen to music and burn CD's?	Yes No	*
Edit and show your photos?	Yes No	*
Print Photos?	Yes No	*
Backup your data?	Yes No	*
Make Purchases online?	Yes No	*
Of the following Operating systems, which have you used?	Windows XP Windows XP Media Centre Windows Vista Mac OS X Windows 7 Beta Windows 7

Gaming
Play Games?	Yes No	*
Of the following list of games consoles, which do you own?	NDS PS3 PSP Wii XBOX 360
Which of the following types of games do you play?	Driving Games Entertainment Games First Person Shooter Online Games Sports Games

Availability
Please provide details of your ongoing availability

Demonstration work	Mon Tue Wed Thu Fri Sat Sun	*
Merchandising work	Mon Tue Wed Thu Fri Sat Sun	*

What types of work are you interested in?	Merchandising Demonstrating IT Demonstrating Games Demonstrating Cookware Full Time Work	*

Pre Employment Health Questionnaire
Medical Health History

Have you EVER suffered from the following?		If yes, please give details
Asthma	Yes No		*
Back or Neck problems	Yes No		*
Chest \ Respiratory problems	Yes No		*
Diabetes	Yes No		*
Fits, Faints or Blackouts	Yes No		*
Epilepsy	Yes No		*
High Blood Pressure	Yes No		*
Heart Disease	Yes No		*
Kidney / Bladder problems	Yes No		*
Mental Health Issues such as Anxiety/Depression/Stress	Yes No		*
Painful Joints	Yes No		*
Rupture / Hernia	Yes No		*
Skin Problems	Yes No		*
Stomach Problems	Yes No		*
Bowel Problems	Yes No		*
Varicose Veins	Yes No		*
Circulatory Problems	Yes No		*
Migreaine / Persistant Headaches	Yes No		*
Hay Fever or any Allergy	Yes No		*
Immune Disorders	Yes No		*

General Health and Lifestyle
Do you have any current or past visual impairment?	Yes No		*
Do you wear glasses or contacts?	Yes No		*
Do you have poor hearing in either ear?	Yes No		*
Are you currently taking any medications or receiving any medial treatment?	Yes No		*
Do you have any medical conditions or health issues not noted above?	Yes No		*
Have you ever been off work for more than two weeks due to a health/medical reason?	Yes No		*
Do you have a family history of any medical conditions?	Yes No		*
Have you ever been refered to a specialist at a hospital?	Yes No		*
Have you ever been admitted to hospital?	Yes No		*
Is there anything of a medical nature that you would prefer to discuss with an occupational health consultant?	Yes No		*
If required, please indicate if a telephone or personal consultation is preferred:	Telephone Personal