Candidate Evaluation Sheet

I. PERSONAL INFORMATION

Last First Middle

Name Name Name
II. NURSE CREDENTIALS
Philippines:
NLE Rating: License # Expiry Date

USA:
NCLE Y Sta Expiry
License #
X N te Date
CGFNS: _________________________________
Do you have a pending Immigrant Visa Petition? _______________________________________
UK New Zealand Australia UAE

III. WORK HISTORY:

Company Name: Position Allowance Reason for Leaving:

1 # of Years Monthly Salary Other Benefits:

Company Name: Position Allowance Reason for Leaving:

2
# of Years Monthly Salary Other Benefits:

PNI Management inc|Unit 1609 Prestige Tower F. Ortigas Jr. Road, Ortigas Center Pasig City
 Company Name: Position Allowance Reason for Leaving:

3
# of Years Monthly Salary Other Benefits:

Company Name: Position Allowance Reason for Leaving:

4
# of Years Monthly Salary Other Benefits:

IV. Healthcare BPO:

Have you worked in the
Any pending application?
Healthcare BPO?
Company Name:

V. Others:
How soon can you work?
____________________________________________________________________________
What do you look for an employer?
____________________________________________________________________

Negative Positive

PNI Management inc|Unit 1609 Prestige Tower F. Ortigas Jr. Road, Ortigas Center Pasig City
Recommendations:

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

NCLEX Diagnostic Test Result:

1. ___________________
2. ___________________

Interviewed and Evaluated By: Date:

_________________________ ______________________

PNI Management inc|Unit 1609 Prestige Tower F. Ortigas Jr. Road, Ortigas Center Pasig City