Applicant’s name
Interviewer’s name
Date
Question
Why do you want to work in U.S?
What would you need in order to enjoy your My first preoccupation is to prove my valor in
time in the U.S?
Describe your plans for the future. What
are your goals?
Describe your general health.
Have you ever suffered from or sought
treatment for depression, alcoholism, drug
addiction or an eating disorder? Please
explain.
Has anyone in your family suffered from
depression or alcoholism? Please explain.
Describe any history of Job abuse in any
company you have previously worked?
Describe where you were born and raised
Do you have any siblings? If so, how old
are they?
Describe the relationship you have with
your siblings.
Anis MALEK
11th November 2021
Answer Interviewer Notes
Please check the box that apply
Sir,  Asked me to repeat or rephrase the question
I want to work in the U.S in order to boost my  Answered with isolated words or small
career, because it has excellent job phrases
opportunities ,Well planned society with  Answered in complete sentences
peoples having clarity in their thoughts,
charming climate and Its one of my desire to
show U.S to my parents and lot more to
explore there.
Sir,  Asked me to repeat or rephrase the question
 Answered with isolated words or small
your company phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
Sir,  Answered with isolated words or small
To accumulate a lot of experience phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
Sir  Answered with isolated words or small
I am physically, mentally and emotionally fit phrases
for seagoing services.  Answered in complete sentences
I don’t have any genetic disorder.
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences

How often do you have contact with your
family members?
Describe your family’s support of your
decision to work in U.S.
What is your family’s reaction to you
spending a year away from home?
How were you disciplined as a child?
When, where and for how long have you
spent time away from home?
When, where and for how long have you
traveled in English-speaking countries?
Are you willing to be placed with a
Company that is of a different religion?
How would you accommodate?
What is your favorite area of study? Why
do you like it?
What did you like about your last Job
experience? What did you dislike about it?
Where and when did you complete any
formal English courses?
What volunteer work have you done?
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the question
 Answered with isolated words or small
phrases
 Answered in complete sentences
  Asked me to repeat or rephrase the question
How will you adjust to a new company,  Answered with isolated words or small
country and culture? phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the question

How much notice do you require before  Answered with isolated words or small
leaving for a placement with your phrases
company?  Answered in complete sentences

 Asked me to repeat or rephrase the question

How can you rate your fitness level?  Answered with isolated words or small
phrases
 Answered in complete sentences

 Asked me to repeat or rephrase the question

What problems do you anticipate while Sir,  Answered with isolated words or small
working in your previous job? I didn’t had any problem in my previous job. phrases
 Answered in complete sentences
Sir,  Asked me to repeat or rephrase the question
How do you feel about being placed with a Really I am very happy to join.  Answered with isolated words or small
Company of a different race or has different phrases
political views or beliefs?  Answered in complete sentences

The remaining questions are to be completed by the interviewer

Poor Fair Good Excellent

Appearance Excellent
Please rate the Job Seekers:
Self Confidence Excellent

Attitude Good

Manners Excellent

Communication skills Good

English Rating Scale

1 – Uses few or no English words; understands greetings and other basic, memorized phrases.

2 – Uses some English phrases though thoughts may be disconnected; understands basic English sentences when spoken clearly and
slowly but relies on body language and facial expressions to determine meaning.

3 – Responds in complete thoughts and has a large vocabulary of everyday common terms. Can perform tasks based on a short series of
instructions, takes short time to mentally translate and can understand complex sentences when repeated or rephrased.

4 – Responds in complete sentences and can re-word what he/she is saying when the meaning is unclear or when he/she cannot remember
unusual vocabulary words. Can perform tasks based on complex instructions and understands others when they are speaking at a natural
rate.

5 – Responds completely with more descriptive language and does not take time to mentally translate when listening or speaking.
Understands conversations about abstract things.
Based on the table above, please rate the applicant’s ability both to Rating: Native
speak and comprehend English. Briefly explain your decision.
Explanation:

This applicant will make a good staff worker for the following
reasons:

What difficulties will the applicant experience while placed

working in a foreign country?

Interviewer’s signature Anis MALEK

Date
11th November 2021