PRE-SCREENING FORM

PERSONAL INFORMATION
Names: First Name
Lastnames: Last Names
Date of Birth: DD/MM/YYYY
Nationality: Country
Marital Status: Single / Married / Divorced / Civil Union
Children: YES/NO How many? ##
Main Email: Main email address
Alternate Email: Alternate non-work email
Mobile Phone: Use country Code Home Phone: Use country Code
Skype ID: Skype ID
LinkedIn: URL
GitHub: URL

HOME ADDRESS
Neighborhood: Neighborhood City: City
State: State Country: Country

EDUCATION LEVEL
Degree: Degree Year: Year of graduation
Are you currently studying? Yes/No
What are you studying? Course Name
Average: [/10, /20, /5]

ADDITIONAL QUESTIONS

1. Would you accept a relocation offer No/Yes. If yes, where?

to Argentina, Colombia, Mexico,
Brazil USA or Europe?
2. What’s the maximum amount of time 1 months, 6 months, etc.
that you can be out travelling for
work if the opening is not for
relocation?
3. In case we want you to start 1 week, 2 weeks, etc.
working; how soon could you start?
4. Are you available to work Full-time Yes, Fulltime 40hs per week. Part-time 6hs
 and/or Part-time? If Part-time, how per day, etc…
many hours per day/week?
5. We have several clients in USA I can work Eastern Time, Pacific Time, etc.
[Pacific or Eastern] timezones, what
would your flexibility be to work
overlap with them?

6. Do you have any vacation time No/Yes. If yes, please inform the dates
already planned for the next 6
months?

7. Do you have a valid passport? No/Yes. If yes, what if the issuing country?
8. Do you currently have a US Visa to No/Yes. If yes, which Visa?
travel to the United States?
9. Would you feel comfortable No/Yes
interacting with clients directly in
English?
10. Have you worked for a software No/Yes. If yes, which company?
outsourcing company before
speaking English on a daily basis? If
so, which one?
11. What references of final clients can Reference 1: Name, Company, Contact
you provide to verify your work? Details
Preferably provide Name, Company Reference 2: Name, Company, Contact
and Contact Details. Details
12. Are you working on a direct contract Direct Contract / Outsource
with that references o are you
outsource by another company?
13. Would you please run a speed test Please paste the results here
(www.speedtest.net) from home and
send me the results?

SKILLS RANKING

Rank your skills from top to bottom, being 1 the strongest and 11 the weakest.

1. English
2. IQ
3. Detail-oriented
4. Workaholic / Hard worker
5. Methodic
6. Commercial
7. Common Sense
8. Dynamic / Multi-Tasking
9. Creativity / Innovation
10. Communication / Interpersonal skills
11. Flexible / Adaptive to change
LABOR/COMERCIAL REFERENCES

Name & Labor / Company Period Phone Email

Surname Comercial Number
Relationship