Candidate:
Position Title:
Talent Acquisition Specialist:
Copy/paste what the employee emailed you about their
referral of his person in the box on the right.
Date:
Recruiting Source:
If referred, how do you know the person
referring you? Did you work together in the
past?
1. How do you know (person
who listed you on their
application.)
2. Why do you recommend
this person for (job name) at
Ellsworth?
General Questions
Have you ever worked, applied, or interviewed with us in the past?
Yes ☐ No ☐ If yes, please explain.
Are you legally authorized to work in the United States now, or at any point in the future without
sponsorship?
Yes ☐ No ☐ If no, please explain.
What is your highest level of education completed?
When are you available to start a new position?
What are your wage requirements?
Why are you looking for a new opportunity currently?
What are the top 3 things you hope to find at your next employer and/or next job?
Position Questions
Last Employer:
Dates of Employment (include month/year):
Job Title:
Duties/Responsibilities:
Reason for Leaving:
Previous Employer:
Dates of Employment (include month/year):
Duties/Responsibilities:
Reason for Leaving:
Quality is a key value here.
Have you ever made a mistake or prevented an error from happening? What was the situation and
actions you took? Result(s)?
Collaboration/cooperation is a large part of our culture.
Tell me about a project or a time that you had to gain buy-in from your team or leaders, what did you
do?
Customer Focus.
Tell me about a time where you had a to work with a difficult person (leader, customers, peers) and
how did you manage to get things done?
Example Culture Fit
Ellsworth is a family-run company. What is it about a family-run company that attracts you to us?
Notes: