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Job Interview USA . Website: www,byers.com.

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Questionnaire

Applicant’s name
Interviewer’s name
Date

Question Answer Interviewer Notes

Please check the box that apply
 Asked me to repeat or rephrase the
Your Full Name : question
Address :  Answered with isolated words or small
Country phrases
Mobile Phone #(s)  Answered in complete sentences
Email:
 Asked me to repeat or rephrase the
* Are you willing to work question
?? Full Time  Answered with isolated words or small
?? Part Time phrases
?? Weekends  Answered in complete sentences
?? Holidays
 Asked me to repeat or rephrase the
* Did you have International Passport? question
If yes, what is your International Passport  Answered with isolated words or small
Number: phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
* Do you have a valid Driven License? question
Yes ?? No ??  Answered with isolated words or small
?? Class A phrases
?? Class B  Answered in complete sentences
?? Class C
 Asked me to repeat or rephrase the
* Are you married YES or No question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What position are applying? question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
How many year’s working experience do question
you have  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Briefly write about your working experience question
and how you will impact it in this reputable  Answered with isolated words or small
company and what new innovation can you phrases
bring into this company for positive growth  Answered in complete sentences
if employed.
 Asked me to repeat or rephrase the
Why do you want to work for our company? question
 Answered with isolated words or small
phrases
 Answered in complete sentences

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  Asked me to repeat or rephrase the
Describe a difficult situation you have been question
in when responding to your call of duty.  Answered with isolated words or small
How did you handle this? phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What do you do when priorities change question
quickly?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
How much notice do you require before question
leaving for a placement with your  Answered with isolated words or small
company? phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Have you traveled outside your country question
before?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Do you have a valid US WORKING VISA question
and Work Permit to travel down to United  Answered with isolated words or small
STATES if finally you are employed to phrases
work in this Company?  Answered in complete sentences
 Asked me to repeat or rephrase the
If you don’t have a valid US WORKING question
VISA to resume work if employed, can you  Answered with isolated words or small
procure VISA in your country or company phrases
should refer you to registered US VISA  Answered in complete sentences
CONSULTANT that will assist you Visa
for resumption?
 Asked me to repeat or rephrase the
What skills have you acquired that would question
help you carry on your responsibilities?  Answered with isolated words or small
phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the

Please provide three references. question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
question
 Answered with isolated words or small
phrases
 Answered in complete sentences

Page 2 of 4
  Asked me to repeat or rephrase the
question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
question
 Answered with isolated words or small
phrases
 Answered in complete sentences

The remaining questions are to be completed by the interviewer

Poor Fair Good

Excellent

Please rate the Job Seekers: Appearance Excellent

Self Confidence Excellent

Attitude Good

Manners Excellent

Communication skills Good

English Rating Scale

1 – Uses few or no English words; understands greetings and other basic, memorized phrases.

2 – Uses some English phrases though thoughts may be disconnected; understands basic English sentences when spoken clearly and
slowly but relies on body language and facial expressions to determine meaning.

3 – Responds in complete thoughts and has a large vocabulary of everyday common terms. Can perform tasks based on a short series of
instructions, takes short time to mentally translate and can understand complex sentences when repeated or rephrased.

4 – Responds in complete sentences and can re-word what he/she is saying when the meaning is unclear or when he/she cannot remember
unusual vocabulary words. Can perform tasks based on complex instructions and understands others when they are speaking at a natural
rate.

5 – Responds completely with more descriptive language and does not take time to mentally translate when listening or speaking.
Understands conversations about abstract things.

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Based on the table above, please rate the applicant’s ability both to Rating: Native
speak and comprehend English. Briefly explain your decision.
Explanation:

This applicant will make a good staff workers for the following
reasons:

What difficulties will the applicant experience while placed

working in a foreign country?

Interviewer’s signature

Date

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