LLHCA Telephone Interview Form Date: Candidate: Why have you chosen a career as a direct care worker? What do you enjoy and dislike about home care? What would you do if you suspected that a client was being neglected by a member of their family or a coworker? Are you interested in a part-time or full-time position? ( ) Full-time ( ) Part-time ( ) Either What is your shift availability? ( ) Day Shift ( ) Night Shift ( ) Overnights ( ) Any Would you be amenable to a 12 or 16 hour shift? ( ) YES ( ) NO Given the nature of the business, would you be available to cover a shift for a client on short-notice? ( ) YES ( ) NO Do you currently possess a valid driver’s license? ( ) YES ( ) NO Please briefly share any prior experience you may have related to this particular position. You understand that this position has an hourly rate of $12.00. Is that an acceptable amount for you? If offered a position, when would you be available to start? We service clients in Fayette, Greene, Westmoreland, Allegheny, and Washington counties. What is the maximum distance you are willing to travel one way each shift? What questions can I answer for you? Comments (describe how the candidate's responses relate to the desired competencies for the job):