JOB APPLICATION INTERVIEW QUESTIONNAIRE FORM

Bayside Engineering, Inc is an Equal Opportunity Employer and does not discriminate because of race, creed, color, sex, gender, age, national origin,
marital status, veteran status, the presence of a non-job related medical condition or disability, or any other legally protected status.

Please print, fill and forward all information to your Human Resources Manager

What position did youwant to apply for: Date: __________________

PERSONAL INFORMATION
Name: Preferred Name:
Last First Middle

Present address:
No. Street City State Country

Age: Did you have International Passport? Do you have a valid Driven License? Mobile phone No:

Alternative phone: Marital Status: ______________________

Personal E-mail: Are you 18 years of age or older? Yes No.

Date available to start work: How many years working experience do you have? _______
Is there any information we would need about your name or use of a maiden name or other name for us to be able to check your
work record? Yes No If yes, please specifies:
EMPLOYMENT RECORD
Have you previously applied with Bayside Engineering? Yes No If yes, when where

Have you previously worked in US? Yes No If yes, when where

Position or type of work desired:

Monthly Salary Pay desired: $

How did you learn of Bayside Engineering, Inc?

Why do you want to work for Bayside Engineering, Inc?

OTHER DATA

For applicants whose position is likely to include driving for company purposes:
Driver’s License Number Expiration date_________has your driver’s license ever
been suspended? Yes No If yes, when and why? Have you had any moving violations during the past 3
years? If yes, list
Are you willing to take a pre-employment drug test and to submit to random alcohol or drug testing? Yes No
If an offer of employment is made, a background check will be performed.

BRIEF INTERVIEW QUESTIONS

Tell me about yourself? --------------------------------------------------------------------------------------------------------------

What Was Your Reason For Leaving Your Last Employer?

Briefly write about your working experience and how you will impact it in this reputable company and what new
innovation can you bring into this company for positive growth if employed?

Do you have a valid US WORKING VISA to travel down to United States if finally you are employed to work in this
Company?

What skills have you acquired that would help you carried on your responsibilities?

What is your working experience?

What new innovation can you bring into this company for positive growth if employed?

APPLICANT’S STATEMENT

I understand Bayside Engineering Inc. may thoroughly investigate all statements and data given on this application,
on related papers, and in interviews. I understand that a background investigation will be performed, including,
but not limited to, credit, criminal, and driving history.

I certify that all the statements contained in this Application are true and complete and understand that any
falsification or willful omission shall be sufficient cause for termination or refusal of employment.

Applicant’s Signature Date

 WHAT WE OFFER

 PAID TIME OFF (vacation, leave, illness)

 FLEXIBLE HOURS (for some positions and in some locations)
 PAID HOLIDAYS
 FLEXIBLE SCHEDULES (for some positions and in some locations)
 GROUP MEDICAL INSURANCE
 PAID FUNERAL LEAVE
 RETIREMENT SAVINGS PLAN
 PAID JURY DUTY
 MATCHING CONTRIBUTION
 DIRECT DEPOSIT OF PAY CHECKS
 VOLUNTARY LIFE INSURANCE
 TELECOMMUTING (for some positions and in some locations)
 CASUAL WORK ENVIRONMENT
 CORPORATE STABILITY