Applicant’s Full Name: VINAY RAJESH JADI

Present Contact Address:
Passport Number:
Marital Status:
Contact Telephone:
Post / Position Offered:
Job Reference #:
Contact Email Address:
Nationality:
HOUSE NO 29, GOLDEN PARK , VIJAYNAGAR, HUBBALLI- 580032, KARNATAKA, INDIA
SINGLE
+91-8861028898
PROJECT CIVIL ENGINEER
(JOB/HARPERCC/2019)
Vinay.jd11@gmail.com
INDIAN

Question Answer Interviewer Notes

Why do you want to work in USA?
What would you need in order to
enjoy your time in the USA?
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?
America is completely unique. Working
in USA will give me international
exposure. It will help me gain
understanding of bigger picture and build
my own character.
I need a good working atmosphere along
with opportunities to learn more and
help in further development of my skills,
My long term goals involve growing with
a company where I can continue to learn,
take on additional responsibilities and
contribute as much value as possible to
the team.
I’m physically, mentally and emotional fit.
I have been playing basketball and other
sports to keep myself in good shape and
healthy.
No, I have never suffered or sought
treatment for depression, alcoholism,
drug addiction or eating disorder.
No, none of my family members have
suffered from depression or alcoholism.
I have never worked in any company
previously in which I was victim of job
abuse.
Please check the box that apply
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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.
How often do you have contact with
your family members?
Describe your family’s support of
your decision to work in USA.
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?
I was born and brought up in a city
named Hubbali from Karnataka state of
India.
I have a sister who is 2 years older than
me and a brother who is 2 years younger
than me.
I have a very good relationship with my
siblings and I know I can talk to them
about anything and they will always give
me sound advice
. question
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Where and when did you complete question
any formal English courses?  Answered with isolated words or small
phrases
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What volunteer work have you question
done?  Answered with isolated words or small
phrases
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How will you adjust to a new question
company, country and culture?  Answered with isolated words or small
phrases
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How much notice do you require question
before leaving for a placement with  Answered with isolated words or small
your company? phrases
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What problems do you anticipate question
while working in your previous job?  Answered with isolated words or small
phrases
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How do you feel about being placed question
with a Company of a different race  Answered with isolated words or small
or has different political views or phrases
beliefs?  Answered in complete sentences

The remaining questions are to be completed by the interviewer

Poor Fair Good Excellent

Please rate the Job Seekers: Appearance Excellent

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 Rating: Native
ability both to speak and comprehend English. Briefly
explain your decision. Explanation:

This applicant will make a good staff workers for the

following reasons:

What difficulties will the applicant experience while

placed working in a foreign country?

Interviewer’s signature

Date