Prelim Q New App 044 (Rev. 8/2009)

NEW APPLICANT PRELIMINARY QUESTIONS

Name: _______________________________ Date: ________________________

1) Job or position applied for: _______________________________________

2) Language abilities: (Check one and/or more if applicable)

English Speaking fluent some

Reading fluent some

Writing fluent some

Japanese Speaking fluent some

Reading fluent some

Writing fluent some

Korean Speaking fluent some

Reading fluent some

Writing fluent some

Chinese Speaking fluent some

Reading fluent some

Writing fluent some

Mandarin Cantonese

Simplified Traditional

3) Computer skills: Word Excel PowerPoint

Other: ______________________________________

4) 10-key skills: Yes (by touch by sight)

No

5) Convenient time for a job interview: ______a.m. ______ p.m.

Date: ____________________ __ 6) If hired, when are you available to start? ___________________ ________

7) Do you know anyone currently working for our company?

If so, please state name(s) _____________________________ ________

8) Referred by: Employment Agency name _________________ ___ Newspaper name _________________ _____________

Others ________________________ ________________