Interview Questions
Applicant Name
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First Name
Last Name
Position Applying for?
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Certified Peer Specialist
Certified Peer Specialist Supervisor
Dual Diagnosis
Certified Recovery Specialist
Certified Recovery Specialist Supervisor
What are your reasons for wanting to work as a Peer Specialist?
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Please tell me about any education, training, or personal experience that prepares you for being a CPS?
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Peerstar is a recovery focused organization, how would you describe the concept of recovery to someone you were assigned to support?
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What supports and training do you think you need to perform well in this position?
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This position has been advertised for a consumer survivor of the mental health system. How would you use your own losses and recovery to instill hope in our peers?
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How willing and comfortable are you to speak with Peers about your own experiences with mental health problems and your own recovery process? How do you feel about self-disclosure?
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Tell me about your experience working with, or being around someone, with an intellectual disability or autism? If no experience, put "N/A"
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All our documentation is completed on an iPad, how much experience do you have using iPad or other similar types of devices?
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If I talked to your previous supervisor, what would he or she say are your 3 strengths and 3 things you could be improving?
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Is there anything more you want to tell me about yourself and why we should choose you over other candidates?
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Additional Questions
Have you ever been convicted of a crime (Felony or Misdemeanor)? **If yes, applicant will need to submit 2 letters of recommendation and an explanation of charges within 7 days of the interview**DO NOT ASK THIS QUESTION IF APPLICANT RESIDES IN PHILADELPHIA OR PITTSBURGH**
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Yes
No
N/A
Have you ever been excluded from participation in Medicare, Medicaid, or the Pennsylvania Medical Assistance programs?
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Yes
No
Have you completed the 2 week certification training in Pennsylvania?
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Yes
No
Are you a Certified Peer Specialist with the Pennsylvania Certification Board (PCB)?
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Yes
No
Have you ever served in the military?
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Yes
No
Do you have adequate transportation and a valid drivers license?
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Yes
No
Highest Level of Education
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High school/GED
Some College
2 year collage (Assoc. Degree)
4 year college (BA/BS Degree)
Masters Degree
Doctorial Degree
Professional Degree (e.g. MD or JD)
Will the applicant need to go to Dual Diagnosis Training? If yes, list date applicant is able to attend training.
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Check all animals applicant is comfortable working around
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Dogs
Cats
Any
None
Are you able to work around individuals that smoke?
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Yes
No
How many hours are you interested in working?
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Which counties/areas are you interested in working?
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How far from your home are you willing to work? (Miles or minutes)
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What times are you available to work?
Day
Evening
Weekends
Any
Other
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Regional Director Interview Checklist
County staff lives in:
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Person Completing the Interview
*
Minimum Qualifications
Do they have a mental health diagnosis and have reached a place in their recovery pathway where they can positively support others in a similar situation
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Yes
No
Do they have a High School Graduate or GED?
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Yes
No
Does their resume document work/volunteer experience of at least 6 months of consecutive employment or volunteer work experience; OR within the last three (3) years, has maintained at least 12 months of successful full or part-time paid or volunteer work experience?
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Yes
No
Is the applicant an effective communicator?
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Yes
No
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Peerstar Orientation and Training
Date applicant is available for Peer Support Certification Training? List which training and date applicant is able to attend or N/A
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Date applicant is available for RD Orientation?
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-
Month
-
Day
Year
Date applicant is available to start with Peers?
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-
Month
-
Day
Year
Are you interested in working with the forensic population?
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Yes
No
Are you interested in working with individuals with substance use disorders?
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Yes
No
Is there any specific issues/diagnosis to avoid when staffing?
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Do you want to hire this applicant?
Please Select
Still deciding (notify HR within 1 week of decision)
Yes
No
If you offered a sign on bonus, it must have been advertised on Indeed. Enter the amount below:
Submit
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