Applicant’s name HAFSA SAIF EDDINE

Interviewer’s name

Date

Question Answer Interviewer Notes

Please check the box that apply
 Asked me to repeat or rephrase the
Why do you want to work in U.S? Because it’s a good county with the most question
high paid  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What would you need in order to enjoy your question
time in the U.S? A house and some friends  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Describe your plans for the future. What question
are your goals? Having kids  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Describe your general health. I’m in a good health question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Have you ever suffered from or sought No I haven’t during my religion it’s not question
treatment for depression, alcoholism, drug allowed to do those stuff  Answered with isolated words or small
addiction or an eating disorder? Please phrases
explain.  Answered in complete sentences

 Asked me to repeat or rephrase the

Has anyone in your family suffered from No one because we are a religious family question
depression or alcoholism? Please explain.  Answered with isolated words or small
phrases
 Answered in complete sentences
I didn’t really have any  Asked me to repeat or rephrase the
Describe any history of Job abuse in any question
company you have previously worked?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Describe where you were born and raised question
I’m born in a village named Rommani  Answered with isolated words or small
where there is natural places so I enjoyed phrases
my childhood  Answered in complete sentences

 Asked me to repeat or rephrase the

Do you have any siblings? If so, how old question
are they? I have one brother, he is 17 years old  Answered with isolated words or small
phrases
 Answered in complete sentences
A good relationship with him  Asked me to repeat or rephrase the
Describe the relationship you have with question
your siblings.  Answered with isolated words or small
phrases
 Answered in complete sentences
  Asked me to repeat or rephrase the
How often do you have contact with your question
family members? Everyday  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Describe your family’s support of your question
decision to work in U.S. They would love to see me there because it  Answered with isolated words or small
will make me happy phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the

What is your family’s reaction to you Hard decision but they will support me question
spending a year away from home?  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
How were you disciplined as a child? question
I respect my family  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
When, where and for how long have you question
spent time away from home? 5 years because I was studying in another  Answered with isolated words or small
village but I was visiting them every 3 phrases
months  Answered in complete sentences
 Asked me to repeat or rephrase the
When, where and for how long have you question
traveled in English-speaking countries? Never traveled outside morocco  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Are you willing to be placed with a question
Company that is of a different religion? I would accept that because I need to work  Answered with isolated words or small
How would you accommodate? phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What is your favorite area of study? Why question
do you like it? Home because I focus good  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What did you like about your last Job question
experience? What did you dislike about it? I liked that I’m working from home , I  Answered with isolated words or small
didn’t liked the salary phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Where and when did you complete any question
formal English courses?  Answered with isolated words or small
I learned English by myself phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What volunteer work have you done? question
Feeding cats and dogs  Answered with isolated words or small
phrases
 Answered in complete sentences
  Asked me to repeat or rephrase the
How will you adjust to a new company, question
country and culture? I would adjust good because I like  Answered with isolated words or small
discovering new cultures 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 Didn’t understand the question  Answered with isolated words or small
company? phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
How can you rate your fitness level? question
I been working on 2 years now and I really  Answered with isolated words or small
love gym phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What problems do you anticipate while question
working in your previous job? Not enough salary  Answered with isolated words or small
phrases
 Answered in complete sentences
I should know about them well at first  Asked me to repeat or rephrase the
How do you feel about being placed with a question
Company of a different race or has different  Answered with isolated words or small
political views or beliefs? 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.
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 worker for the following
reasons:

What difficulties will the applicant experience while placed

working in a foreign country? I need to find a house so that I would be comfortable

Interviewer’s signature Hafsa

Date 12/04/2024