Candidate Assessment Form
Jeff
Name:
*
First Name
Last Name
Phone Number:
*
Format: (000) 000-0000.
E-mail Address:
*
example@example.com
How did you hear about us?
*
Please Select
not sure
Aaron Hyslip
Alie Valery
Coy McDaniel
Henny Zimmerman
Jeff Cerovich
Kelly Johnson
Mike Lamb
Text
Email
Indeed
Facebook
LinkedIN
(referred by..., online ad, Facebook, etc.)
Where would you rate your interest regarding the position?
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Why?
*
What appeals to you most about a possible career with us?
*
Based on past accomplishments, what gives you the confidence you would do well with us?
*
Of these, what are the three most important factors in your next career?
*
Culture
Compensation
Stability
Growth Opportunities
Work-Life Balance
When we contact your previous employer, what will they say regarding your work ethic and attitude?
*
Are there any limitations with your schedule regarding your availability to work?
*
If yes, please explain:
Are there any issues in your past that would appear on a Background Check?
*
Yes
No
If yes, please explain:
Do you have a valid driver's license and a reliable vehicle?
*
Yes
No
Please list any additional questions you may have. We can address these during our next meeting.
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