KELTBRAY GROUP

(HOLDINGS) LTD
St Andrew's House, Portsmouth Road, Esher,
Surrey, KT10 9TA,United Kingdom

Applicant’s name
Phone number:
Date

Question Answer Interviewer Notes

Please check the box that apply
Asked me to repeat or rephrase the question
Why do you want to work in U.K? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
What would you need in order to enjoy your Answered with isolated words or small
time in the U.K? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Describe your plans for the future. What Answered with isolated words or small
are your goals? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Describe your general health. Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Have you ever suffered from or sought Answered with isolated words or small
treatment for depression, alcoholism, drug phrases
addiction or an eating disorder? Please Answered in complete sentences
explain.
Asked me to repeat or rephrase the question
Have you ever initiated an act of violence in Answered with isolated words or small
the workplace? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Describe any history of Job abuse in any Answered with isolated words or small
company you have previously worked? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
List all special technical skills that you feel Answered with isolated words or small
qualify you for the job for which you are phrases
applying Answered in complete sentences
Asked me to repeat or rephrase the question
Why should we hire you? Answered with isolated words or small
phrases
Answered in complete sentences

Asked me to repeat or rephrase the question

 What are your strengths And Weaknesses?. Answered with isolated words or small
phrases
Answered in complete sentences

Asked me to repeat or rephrase the question

Tell me about an accomplishment you are Answered with isolated words or small
proud of? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Describe a situation in which you solved a Answered with isolated words or small
problem? phrases
Answered in complete sentences

Asked me to repeat or rephrase the question

Describe a situation in which you Answered with isolated words or small
led/worked in a team? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
What motivates you? / How do you Answered with isolated words or small
motivate the others?? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Where do you see yourself in five years?? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
When, where and for how long have you Answered with isolated words or small
traveled in English-speaking countries? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Are you willing to be placed with a Answered with isolated words or small
Company that is of a different religion? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
What is your favorite area of study? Why Answered with isolated words or small
do you like it? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
What did you like about your last Job Answered with isolated words or small
experience? What did you dislike about it? phrases
Answered in complete sentences
Asked me to repeat or rephrase the question
Have you ever been arrested for any matters Answered with isolated words or small
for which you currently are out on bail or on phrases
your own recognizance pending trial Answered in complete sentences
Please list the names of your present and/or
previous employers in chronological order
with present or last employer listed first. If
self-employed, supply firm name, and
business references.

Asked me to repeat or reph

How will you adjust to a new company, question
country and culture? Answered with isolated wo
phrases
Answered in complete sen
Asked me to repeat or reph
How much notice do you require before question
leaving for a placement with your Answered with isolated wo
company? phrases
Answered in complete sen
Asked me to repeat or reph
What are you passionate about? question
Answered with isolated wo
phrases
Answered in complete sen
Asked me to repeat or reph
What problems do you anticipate while question
working in your previous job? Answered with isolated wo
phrases
Answered in complete sen
Asked me to repeat or reph
How do you feel about being placed with a question
Company of a different race or has different Answered with isolated wo
political views or beliefs? phrases
Answered in complete sen

The remaining questions are to be completed by the interviewer

Poor Fair Good Excellent

Appearance Excellent
Please rate the Job Seekers:
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
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
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 vo
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 conv
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 workers for the following
reasons:

What difficulties will the applicant experience while placed

working in a foreign country?

Interviewer’s signature

Date