/ Toll Free: (888) 246-8068 x 221
Fax: (519) 938-8554
[email protected]
Website:

CCI Research Inc. is an equal opportunity employer dedicated to non-discrimination in employment.

CCI Research Inc. selects the best qualified individual for the job, based on job-related qualifications,

regardless of race, age, colour, religion, sex, national origin, ancestry, marital status, sexual preference, disability or any other status protected by applicable law.

Please complete ALL information requested (complete, or put N/A in each space).

Date:

NameFirstMiddle InitialLast

Permanent Address

Street name and number:Apt #

Town:Prov.ON

Postal Code:Home phone: Cell phone:

E-mail address

Education

Level of Education: (please highlight your highest level of education)

Elementary School or some high school

High School Diploma

Trade certificate or non-university college certificate

Bachelors Degree or higher

Position: Call Centre interviewer

Please answer the following questions with a Yes or No response.

Do you have a criminal conviction for which a pardon has not been granted?

Are you 18 years of age or older?

Do you feel you could work in an environment where your performance is monitored?

This position requires you to work 5 hours without a break. Do you foresee any issues with this requirement?

Do you have any commitments we need to be aware of? If yes specify

How would you rate your ability to use a computer (e.g. mouse, keyboard) Good Fair Poor?

Will you be available for a minimum of 3 shiftsevery week from March 8 – April 18 2016should you be hired?

Are you fluent in French?YesNoSpokenWritten

Do you know any other languages? If yes specify

Have you done any type of telephone interviewing/calling in the past?

Have you ever applied to or worked for CCI Research Inc. before?

If yes, the approximate date:

Are you employed now?

How did you hear of our company by:newspaperemployment agency

friend/employeeon my ownflyer delivered to my home Online

other (specify)?

Employment Desired

Date available to start:

Pay Rates

Training pay rate is $11.75/HR

Monday thru to Friday day shift pay rate is $11.75/HR

Friday evening shift pay rate is $12.75/HR

Saturday and/or Sunday shift pay rate is $13.75/HR

Schedule

Please highlight the shifts you are available:

(Minimum of 3shifts per week every week)*= Minimal Shifts Available

Sunday12:00-4pmOR4:30-8:30pmThursday12:00-5pm*OR6:00-11pm

Monday12:00-5pm*OR6:00-11pm Friday12:00-5pm*OR6:00-11pm

Tuesday12:00-5pm*OR6:00-11pmSaturday12:00-4pmOR4:30-8:30pm

Wednesday12:00-5pm*OR6:00-11pm

Please e-mail your completed application to:

CCI Research Inc. • 71Broadway • Orangeville, ON • L9W 1K1