Insert Photo here

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