This interview planning form has three sections to guide the interview process. Section 1 identifies the key skills and abilities needed for the role. Section 2 develops general questions for all candidates related to the company values of listening, valuing others, promoting improvement, rejecting the status quo, embracing passion, acting like owners, and celebrating success. Section 3 contains specific questions for an individual applicant that also relate to the values important for that role.

1. I NTERVIEW P LANNING F ORM
Job Title:
Section 1: List the knowledge, skills, and abilities necessary for success in achieving the
performance objectives of this role.
Section 2: Develop general interview questions for all applicants. Be sure to include
questions related to the CCHS values (listed below).
Section 3: Specific interview questions for _____________________ (name of applicant).
Be sure to include questions related to the CCHS Values important to this role.
C ROSS C OUNTRY H OME S ERVICES V ALUES :
 Listen
 Value Others
 Promote Improvement
 Reject Status Quo
 Embrace Passion
 Act Like Owners
 Celebrate Success