Face to Face Form | Total Assist

Face to Face Interview Form

Place of Interview(Required)

Name of Interviewer(Required)

First Last

Interviewer Email Address(Required)

Date of Interview(Required)

Applicant Name(Required)

First Middle Last

Applicant Maiden Name

First Middle Last

Date of Birth(Required)

Availability to start work(Required)

What specialities do you want to work in ?

What is your availability over the next 6 months ?

What are your 3 most important factors when considering a role ?

What areas do you wish to work in ?

What is the main reasons you would like to register ?

Have you had any complaints by patients, relatives or other members of staff against you? If so; when, what about and how were these resolved?

Are you computer literate? (Word processing, PowerPoint, internet etc.)

By signing this document, I confirm that I have met a representative for a face to face interview and I have had my documents verified.

Applicants Signature(Required)

Interviewers Name

First Last

Signature

Did the candidate have a good command of the English language ?

Yes

Was the candidate pleasant and polite ?

Yes

Was the candidate courteous and helpful?

Yes

Are you happy to offer this candidate work on the basis of this interview?

Yes