Bob and Corky's Interview Interest Form Question Title * 1. Personal Information First Name Last Name Address Email Address Phone Number Question Title * 2. What is your preferred method of contact? By email By phone No preference Question Title * 3. What is a good time to contact you? Question Title * 4. If you would like an interview in the next few weeks, what are good dates and times? Date / Time Date Time AM/PM - AM PM Alternate Date Time AM/PM - AM PM Alternate Date Time AM/PM - AM PM Alternate Date Time AM/PM - AM PM Question Title * 5. This job involves caring for seniors who need all levels of care, the duties including perennial (bathroom) care, are you comfortable with this? Yes No Unsure, but willing to learn more about it Question Title * 6. Resume/Cover Letter Please upload your resume/cover letter if you have one :) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your resume/cover letter if you have one :) Question Title * 7. Do you have any questions, concerns, or comments for us before we contact you? Done