Name of Applicant: Nickname:

Desired Position: Contact No.

1. Why should we consider you for the position you indicated above?

2. How do you see yourself five years from now?

3. How will you handle difficult situations at work (e.g. pressure, overtime, difficult
patients/clients.. etc) ?

4. What do you think are the ideal characteristics of your desired position and how do
you fit into that mold?

Thank you and

Good Luck!