Please provide the following contact information:

First Name

Last Name

Street Address

Suburb

City

Postal code

Home Phone

Cell Phone

Work Phone (if desired)

E-mail

URL if appropriate

What is your date of birth? (if desired)

Are you registered to drive in New Zealand? If so, at what level (e.g. learner, Restricted, or full)

Do you have a specific position you wish to apply for or are you after a more general CV?

What type of role do you wish to be working within, in say five to ten years time?

E.g. management, supervisory, sales, research, human resources etc.

State the title of the qualification (and any specialist details), where the qualification was authorised and the year it was completed. If you are currently studying, please put completion date eg. "completing in 2004")

e.g. Bachelor of Social Sciences - Majored in Psychology - University of Waikato 1992.

If you have a qualification(s) please list and please give the ‘grade’ of the qualification.

E.g. BSc Hons II Otago, or other grade type.

      Or Advanced Trade Certificate with Distinction - Automotive Mechanics (1988)

Please state the title of the course (and any specialist details), where the qualification was authorised and the year it was completed. If you are currently studying, please put completion date e.g. "completing in 2004". If you cannot remember the specifics of a course, please write down the name of the course was and the year it was completed. Please list all training including in-house courses.

E.g. - Customer Services Course - APL Training (2003)

       - Advanced Selling Skills - In-house Course (1999)

Do you belong to any professional organisations?

E.g. - Howick Rotary Association

       - New Zealand Institute of Management (Foundation Member)

       - New Zealand Chefs Association

       - New Zealand Primary School Teachers Association

CURRENT / PREVIOUS POSITION (1) (If applicable)

What is the company name of your current employer?

If you are not working at the moment, what company was your last employer?

In what city are / were you working?

In what position(s) are / were you employed? If you were promoted, please enter the original position you commenced in and then role you were promoted to, as well as the year you were promoted.

E.g. 2001 Commenced as a Customer Services Consultant

       In 2002, promoted to the role of Customer Services Manager Year Commenced (started) Year Finished

       (if  you are still working, please put 'current')

What are / were your job responsibilities?

E.g. - Developing performance management plans for all levels of staff.

       - Organising and presenting training events for senior management.

       - Check out responsibilities including till responsibility.

E.g. Learning to deal with awkward customers; learning to operate in a management role;

       learning to produce complex IT coding; etc..

PREVIOUS POSITION (2) (If applicable)

What is the company name of your previous employer? In what city were you working?

In what position(s) were you employed? If you were promoted, please enter the original position you commenced in and then role you were promoted to, as well as the year you were promoted.Year Commenced (started) Year Finished.

What were your job responsibilities?

****PLEASE CONTINUE TO ANSWER THE SAME QUESTIONS FOR ALL YOUR OTHER PREVIOUS EMPLOYMENTS****

Please enter any previous employment data below.

All data may not be included in the final CV.

Please use a separate piece of paper if required.

Dates: Position: Duties

What I.T. experience do you have? (Please detail relevant software)

E.g. "MS Windows, MS Word, MS Excel, MS PowerPoint, MS Access, SAP, Visio, MYOB, NZA Gold, C++..."

Here, please give a few words about your own work/life philosophy.

List here what you believe your strengths are in relation to your life generally and your working life.

What are your interests?

E.g. - Running, socialising, family, church activities...

What are the names, titles, companies and contact details of your verbal referees (if you wish to include any)? Usually three are supplied.

E.g. - Lisa Smith, Sales Manager, ABC Company, Telephone (08) 833 7777

I agree that I am commissioning Bassdrum Books Limited to prepare a CV / Resume for me and agree to the development fee outlined in the costs shown on the web site www.BassdrumBooks.com/fees.

Bassdrum Books accepts no responsibility for loss or damage of documentation provided by the client.

Bassdrum Books will invoice me on completion and e-mail the commissioned documents to me.

I agree to pay all outstanding fees within 7 (seven) days of Bassdrum Books emailing me my draft CV or delivering a hard copy to me (whichever comes first).

If I have not paid my account within this time, I will be liable for any collection fees as determined by Bassdrum Books Limited.

I agree that once I have completed and returned the notes document and /or Achievements Form to Bassdrum Books Limited, I have agreed to these terms and conditions.

I agree that Bassdrum Books Limited is the owner of all documentation created until the account is paid in full.

Ownership then is passed to the client.

I agree not to change or distribute documentation created until I have paid the account in full (unless agreed to in writing by a Director of Bassdrum Books Limited).

I have been informed that after payment of invoice, all material/information about me still in possession of Bassdrum Books Ltd will be destroyed after two weeks.

Signed………………………………………………………….

Name…………………………………………………………...

Date………………………..

Bassdrum Books Ltd                         info@BassdrumBooks.com                        NZ: 07 571 8439