INTERVIEW FORM FOR DIRECT CARE POSITIONS. Interviewer(s) Name(s)

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INTERVIEW FORM FOR DIRECT CARE POSITIONS Applicant s Name: Interviewer(s) Name(s) 1. Are you able to perform the duties of the job as described in the job descriptions of with or without accommodation? 2. Specialized physical management of students is required as part of the position. Are you able to perform the activities of the TCI restraint process as detailed in the job description and demonstrated to you, with or without accommodation? 3. Please note that the schedule of the shift is Teacher's Aide 7:15 am to 3:15 pm, Monday through Friday and are required to work during slow down periods or periods of school vacation Sr. Child Care Specialist, Child Care Specialist, Sr. Direct Support Professional, Direct Support Professional (2) shifts of 2 pm to 11pm, (1) shift of 3 pm to 11pm and (1) shift from 9 am to 11pm on Saturday or Sunday Child Care Worker and Direct Support Professional Overnight (4) shifts of 11 p.m. to 9 a.m. during the week and weekends. Are you able to work the shifts described to you? Are you able to work during in-service orientation 2 weeks Monday-Friday 8-4? Interview Questions Page 1 of 5

Due to our need to maintain a safe campus in order to maintain our required staff to student ratio, there is the possibility of being mandated (required to staff past the end of yours shift) Are you able to be mandated? 4. Are there any days or times of day, for what ever reason, that you cannot work? 5. You are hired under a 180 day orientation period. Are there any days that you cannot work or require days or weeks off because you have specific plans or commitments? Direct care employees are expected to work holidays during this period unless specifically approved. 6. REVIEW OF THE APPLICATION: A) Is the application complete? B) Please describe each prior work experience. (see back side) C) Have you ever left a job involuntarily? Were you fired? D) Have you ever been formally disciplined in writing? ( Not just verbal) E) Have you ever been charged with molesting a child? Interview Questions Page 2 of 5

7. What interested you in applying for this position? 8. How does this position fit into your overall goals or plans? 9. Please identify three qualities or characteristics that describe you in the work place? Please talk about each. 10. What would you say makes you a better or unique candidate for this position? 11. Your prior employers will be contacted regarding your application. Specifically for each one, what do you think they are going to say about you? 12. Why do you think boys commit sexual offenses? Interview Questions Page 3 of 5

13. Identify several situations which were stressful in your prior work experience and tell me how you handled them. 14. Talk about a mistake that you ve made in a work situation, how you handled it, and what you learned about yourself from the experience? 15. Stetson School is a smoke free environment there is no smoking or no use of any tobacco products on Stetson School grounds smokers need to take breaks off campus are you able to handle this? 16. You may be required to drive Stetson School vehicles. You will be required to provide us with a driving record. Will this be a problem? 17. This is to inform if you are made an offer of employment it will be contingent on passing a physical examination and obtaining a TB test to show that you are free of TB and passing a drug test. 18. If you are made an offer of employment it will be contingent upon the results of a CORI and a background check for abuse and neglect. When the state provides a vendor for fingerprinting and Sex offender registry, you will also need to submit to these additional checks even if you have been hired without completing these. Interview Questions Page 4 of 5

Education Frequently asked questions 19. How would you motivate students? 20. What do you need from a supervisor? 21. Thoughts on good behavior management? 22. Preference on age group? 23. Issues with co-workers and how to handle? 24) Do you have any questions regarding Stetson School or any questions pertaining to the work at Stetson School? 25) Observation Interview Questions Page 5 of 5