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INTERVIEW FORM
CANDIDATE
CONDUCTED BY
NAME
INTERVIEW DATE INTERVIEW TIME
DESCRIPTION OF POSITION BEING FILLED
DATE AVAILABLE SALARY REQUESTED
POSITION TITLE POSITION DEPT
GENDER NATIONALITY
PLACE OF BIRTH DATE OF BIRTH
MARITAL STATUS RACE
IC/PASSPORT NO RELIGION
EMAIL BANK & ACCOUNT NO.
PHONE NO EPF NO.
ADDRESS
FAMILY/SPOUSE
PHONE NO
NAME
IC/PASSPORT NO OCCUPATION
CHILDREN NAME DATE OF BIRTH SCHOOL/INSTITUITION
CURRENT QUALIFICATION
QUALIFICATION TITLE INSTITUTION/ TRAINING PROVIDER YEAR COMPLETED
PREVIOUS EMPLOYMENT (MOST RECENT)
EMPLOYER DATE FROM /
POSITION HELD REASON FOR LEAVING / SALARY
NAME/ESTABLISHMENT TO
WORK EXPERIENCE POOR FAIR GOOD EXCELLENT COMMENTS
SKILL SET
PROFESSIONALISM
ATTITUDE
EDUCATION
ENTHUSIASM
Communication/
LISTENING SKILLS
JOB-SPECIFIC INQUIRIES
Describe your experience directly related to the
position: accomplishments, strengths,
Improvements.
Describe your experience indirectly related to
the position: How does this experience make you
a good candidate?
TIME MANAGEMENT: How do you make decisions
when prioritizing tasks? Tell us about an
experience where time management was a
factor and how you deal with a tight or
fluctuating project timeline.
TEAMWORK: Do you have experience working
alone or as part of a team? How have others
been affected by your work?
PROBLEM SOLVING: Describe an instance of
overcoming a problem and what was learned
from this experience.
EQUIPMENT /TOOLS / SOFTWARE: Are you familiar
and comfortable with the resource
requirements? Please assess your skill level and
describe the most complex work previously
completed with these tools.
WORK SCHEDULE: Are there any restrictions to
your working availability?
Why do you believe you are the best candidate
for this position? How does this position fit with
your long-term goals?
What do you consider to be a strength of yours?
What do you consider to your weaknesses?
Height (cm): Weight (kg):
Are there any health problems that we should
know about?
Are you currently undertaking study/training? YES NO
Course/program name __________________ Full- time Part-time Distance Other
What type of work are you available for? Full-time Part-time Work shift
DECLARATION
I declare that to the best of my knowledge the information given is true and correct. I understand that inaccurate
misleading or untrue statements or knowingly withheld information may result in termination of employment with
this organization. I understand that this application does not constitute an odder of employment, I understand
that, in some cases, police and credit checks will be required and I will be notified if this applies to this application.
Signed: _________________________ Date : ___________________
COMMENTS Provide any additional comments to support your assessment and recommendation.
RECOMMEND FOR HIRE NOT A MATCH DECISION NOT YET MADE
INTERVIEWER NAME TITLE SIGNATURE DATE
