Online Interview

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First Name






Last Name






Address







City





State





ZIP Code





Phone





Email





Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:


Education:




How many years of education have you completed?
Some High School
H.S. Diploma or equivalent
Some College
2-Year College Degree
4-Year College Degree
Beyond 4-year College Degree




If you have a degree or are pursuing a degree, what field is it in?
BA or BS in Human Resources
Masters in Human Resources
Sales
Computer or IT
Health Care
Accounting or Finance
Business Administration or Management
Other




Do you have, or are you pursuing PHR or SPHR certification?
Have certification
Pursuing certification
Not pursuing certification


Experience:




How many years experience do you have in the position for which you are interested?
No experience
Less than one year
At least 1 to 3 years
At least 4 to 6 years
At least 7 to 9 years
Ten or more years




What BEST describes your level of management or supervisory experience?
No experience
Team leader or supervisor
Mid-level management
Executive level
Coaching or training others




Do you have experience interpreting & administering employment laws?
Yes
No




Do you have experience with payroll and benefit administration?
Yes
No




Do you have experience with developing company or department policies or procedures?
Yes
No




Do you have experience developing job descriptions?
Yes
No




Do you have experience in sourcing candidates?
Yes
No




Do you have experience evaluating or qualifying candidates?
Yes
No




Do you have experience with employee training and development?
Yes
No




Have you ever been responsible for employee performance reviews or evaluations?
Yes
No




Have you ever been responsible for hiring and/or terminating employees?
Yes
No




Have you ever been responsible for setting employee compensation?
Yes
No




Do you have experience with Affirmative Action planning?
Yes
No




Do you have experience with Succession planning?
Yes
No




How many employees have you directly or indirectly supervised?
None
Up to 10 people
Up to 25 people
Up to 50 people
Up to 100 people
100 or more people




Do you have experience gathering statistics and developing reports?
Yes
No




Do you have experience using automated HRIS systems such as PeopleSoft or Ceridian?
Yes
No


Work/Salary:




Please indicate what salary you are looking to receive:
Up to $20,000
Up to $25,000
Up to $30,000
Up to $35,000
Up to $40,000
Up to $45,000
Up to $50,000
Up to $60,000
$60,000 or more


General:




Are you interested in working full time or part time?
Full time
Part time




Are you currently employed?
Yes
No




How many employers have you worked for in the past five years?
One
Two
Three
Four
Five or more




How many days of work (other than vacation or approved time off) have you missed in the past year?
None
1 to 4 Days
5 to 10 Days
More than 10 days




If required for this position, how much time are you willing to travel?
No travel
Occasional travel
Travel often
Flexible




How many miles from your home are you willing to travel to work?
Up to 5 miles
Up to 10 miles
Up to 20 miles
Over 20 miles




Are you at least 18 years of age and eligible to work in the United States?
Yes
No




Are you bi-lingual or multi-lingual?
Yes
No




In addition to English, in which language are you most fluent?
Spanish
French
Italian
German
Russian
Chinese
Japanese
Other
None




Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing?
Yes
No




Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks?
Yes
No




Are you now or have you been a member of the United States Military, National Guard or Reserves?
No
I am a Veteran of the United States military
I am currently a member of the United States military
I am currently a member of the National Guard or Reserves
I was a member of the National Guard or Reserves



Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.


Additional Info:
 

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