New Employee Interview
Kindly review all details carefully before providing your information below.
Name
*
Position
*
Please Select
CNA
PCA
Registered Nurse
LPN
E-mail
*
example@example.com
Salary Rate (indicate per hour or per visit)
*
Preferred Area (County)
*
Are you willing to travel outside your preferred area?
*
Please Select
YES
NO
Availability
*
Please Select
Weekdays
Weekends
Any
Applying as PRN
Dementia Experience?
*
Please Select
Yes
No
Are you willing to work a minimum of 4 hours per shift?
*
Please Select
YES
NO
Can you speak other Language?
*
Please Select
YES
NO
Spanish
Hindu
Are you a pet lover?
*
Please Select
YES
NO
I love cats
I love dogs
I love cats and dogs
Shift Preferences (Check all that applies)
*
8am-12pm
12pm-4pm
1pm-5pm
2pm-6pm
8am-4pm
9am-5pm
10am-6pm
7am-7pm
8am-8pm
Any
What made you apply with our company?
Tell me what makes you most excited about working with seniors?
What do you think success looks like in this position?
What are your career goals?
Are you comfortable providing personal care to Clients (male/female)?
Tell me about your experiences that can help in this role?
Tell me about a time when you made a mistake at a past job. What did you do to correct it?
What would you do in case of an emergency?
What skill or trait of yours do you think your clients will value the most?
What are your specialties as a CNA/PCA?
What are some of your strengths?
Can you safely lift 45 pounds?
If no, please explain:
NOTES
*
Save
Submit
Should be Empty: