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


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




Select the response that best describes your level of managerial experience:
Coaching or Training
Team/Project Leader/Supvs.
Mid-Management level
Executive level
No managerial experience




How many employees have you directly supervised?
Up to 5
6 to 10
11 to 25
25 or more
None




Do you have experience in employee reviews or evaluating staff members?
Yes
No




Do you have experience in hiring and/or terminating staff members?
Yes
No




Do you have experience ordering supplies and managing or building relationships with vendors?
Yes
No




Do you have experience in budget preparation or evaluation?
Yes
No




Do you have experience preparing purchase orders and/or billing invoices?
Yes
No




Do you have experience processing payroll?
Yes
No




Do you have experience in benefit administration?
Yes
No


Work/Salary:




What hourly base rate are you looking to receive:
Up to $8.00 per hour
Up to $10.00 per hour
Up to $12.00 per hour
Up to $15.00 per hour
Up to $20.00 per hour
Up to $25.00 per hour
Up to $30.00 per hour
$30.00 or more per hour


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 miles from your home are you willing to travel to work?
Up to 10 miles
Up to 20 miles
Up to 30 miles
Over 30 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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