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Work History
Job 1
Job 2
Job 3
Are you legally eligible to be employed in the United States?
Have you ever been convicted of a felony or a misdemeanor? (A conviction will not necessarily result in denial of employment.)
Are you looking for a full-time or part-time position? *

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Education and Schooling
Additional Experience or Qualifications
Personality and Communication
Are you an extrovert or introvert? *
Are you practical or imaginative? *
Are you a thinker or a feeler? *
Are you structured or flexible? *
During an extremely busy day, what would you do to relieve your stress? *
You have just dealt with an irate client. What do you do next? *
In general, how do you react to a new staff member joining the team? *
When it comes to training new people in your area of expertise, do you: *
You are going over home care instructions with an elderly client, and realize that because the client is hard of hearing, he or she cannot follow your advice. You then: *
You are asked to assist in a detail-oriented data-entry project. You: *
You are upset with management over a decision that has been made at the practice. You address your feelings by: *
You have a conflict with a coworker over a work-related task that is not getting done. You then: *
At the company holiday party, you: *
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