RESUME TRACKING FORM

Applicant Information Received Date: Applicant Name: Degree Level Department Experience: Program Experience: Contact Log Date Type of Contact Administration CCFA Core Reason Clinical IFI Quality Improvement Substance Abuse outcome Wrap Initial Resume Attached YES NO

Telephone Screening–Initial Screening 1. What type of experience have you had working with families in mental health and substance abuse? How many years of experience of you have?

2.

Are you available to work flexible hours including evenings and weekends?

3.

Are you comfortable handling crisis situations?

4.

Describe your educational background & experience?

5.

Describe your documentation skills and the types of documentation cases that you have experience in completing.

6.

Not to limit you or commit you to a certain dollar figure, what is the minimum rate per hour you would consider right now to accept a position. Are you willing to complete drug test, criminal & educational background checks, reference checks, & others as appropriate for this position? YES NO

7.

Interview
Is the applicant eligible for an interview? If no, why? Reconsider this applicant at a later date? YES NO Interview date and time?
After interview complete candidate recommendation form and forward to the next interviewer.

YES

NO

File in the HR/Contract Management file in the resume file in the admin or clinical folder.

JCCS HR/CM Forms

Candidate Screening Form

Sign up to vote on this title
UsefulNot useful