This document is a prescreening questionnaire for a human resources position. It requests information from applicants such as their name, eligibility to work in the US, education history, work experience, skills, and compensation requirements. Applicants are asked to describe how their background meets the position requirements, which include 5 years of HR experience, experience in a manufacturing environment, and strong knowledge of employment laws. They are also asked to rate their skills in areas like managing priorities, benefits administration, and using software programs. The questionnaire aims to assess candidates' qualifications for the HR generalist role.

1. HUMAN RESOURCES
PRESCREENING QUESTIONNAIRE
NAME
DATE
In accordance with the Immigration Reform and Control Act of 1986, any offer of employment is
conditioned upon satisfactory proof of applicant’s identity and legal ability to work in the United States. "US
Citizens and Green Card Holders and those authorized to work in the US are encouraged to apply.
Please note we are not in a position to sponsor H1B candidates so you must be able to work in the
USA for any employer without sponsorship by that employer.
Will you now or in the future require sponsorship for employment visa status, e.g., OPT
or H-IB visa status?
Yes No If Yes, please explain:
IF HIRED, CAN YOU PROVIDE PROOF OF ELIGIBILITY TO WORK IN THE U.S. FOR ANY
EMPLOYER PRIOR TO STARTING WORK?
Yes No If no, please explain:
1. This position requires at least 5 years progressively responsible HR Generalist related experience
Please describe how your background and experience meets or exceeds these
requirements:
2. Experience in a manufacturing environment preferred:
Please describe how your background and experience meets or exceeds this preference:
3. Strong working knowledge of federal, state and local laws is required
Please describe how your background and experience meets or exceeds this preference:
4. Do you meet the minimum requirement of BA/BS degree from an accredited college or
university in Human Resources, business, or a related field?
Yes No
IF Yes, what was you major
field of study in college?
What was your Overall
GPA?
5. What made you decide to apply for this position?
6. Please Provide you complete Work History (Please Do Not Say “See Resume”)
COMPANY YRS EMPLOYED JOB TITLE WHY DID YOU LEAVE?

2. 7. Rate your HR skills in following by placing a
checkmark or X below the applicable column at
right.
Need to be
Trained
Some
Experience
Skilled Highly
Skilled
Successfully manage multiple priorities in fast paced
environment.
Provide for first aid and initial treatment of injuries
Maintain the OSHA 300 injury log
Knowledge of principles and practices of HR
administration
Administer performance review program to ensure
effectiveness, compliance and equity within
company.
Administer Affirmative Action Plan
Administer various human resource policies and
procedures; assist in the development and
implementation of personnel policies and procedures.
Develop, prepare, generate, and analyze ongoing and
ad-hoc special reports, including benefit costs, staffing
levels, turnover, absenteeism, applicant tracking,
EEO, compensation, promotions, LOA’s, etc
Provide guidance and training to supervisors/
management regarding human resources practices
and legal compliance
Participate in the investigation and resolution of
ongoing employee relations issues.
Oversee benefits administration to include the annual
open enrollment process
Administer compensation program, including job
description development and implementation of pay
changes.
Represent company at unemployment hearings.
Plan and oversee new employee orientation program.
Coordinate/conduct recruitment and selection efforts,
including writing and placing advertisements,
coordinating the internal job posting program,
interviewing and evaluating applicants.
Conduct exit interviews to determine reasons for
separation
Design and coordinate programs and practices to
reduce and prevent workplace accidents, injuries, and
exposure to potential health hazards.
Develop and administrate a comprehensive safety
and health program to ensure the well-being of
employees and compliance with government
regulations.
Coordinate the daily administration of other HR
services, including but not limited to promotions,
transfers, EEO compliance, job classification,
performance evaluation, disciplinary action, training,
and employee relations.
Payroll Administration: Inputting data to payroll
database / system and running reports
Maintain Positive Employee Relations and a Union-
Free Workplace

3. 8. Rate your skills in the following on a scale of 1 to 10 by
inserting a self-rating number in appropriate column to right
of each skill
Basic
(1-3)
Advanced
(4-7)
Power User
(8-10)
HRIS Software
Word
Excel
Access
PowerPoint
Outlook
Internet Research
9. What have you found to be the most productive methods to represent the company at
unemployment hearings?
10. Tell me about a workplace injury that resulted in a Workers Compensation Claim which you
investigated and subsequently eliminated or mitigated the hazard.
11. Describe a time when you really went out of your way for an employee.
12. What’s the most unusual situation you’ve experienced in handling an Employee Relations issue?
13. How have you used positive feedback to motivate people?
14. What things are most important to you in your next job?
15. What do you want to make sure you avoid in your next job?
16. What are you career aspirations, i.e., where do you want to be in your career in 5 years
17. What is your targeted compensation
Note: negotiable is not an appropriate answer.
$ Annualized / year