FOR: DEPOSITION PREPARATION
from: CRC Services, LLC Printable PDF version, click here.
➢ EDUCATIONAL BACKGROUND:
Highest education completed (begin w/high school):
Where attended? ______________________________________________
Dates: _________________________________________________________
Course Levels (basic, college prep, honors, AP): _______________
Grade Average: __________
Diagnosed Learning Disabilities? ______________________________
SPED services? On IEP or 504? Medications? ___________
College Training:
Name of School: _________________________________________________
Graduated? __________
Degree/Major: ___________________________
Dates attended: ___________________________
GPA: __________
Other Training (e.g., truck driving, apprenticeships, computer classes, company-internal training):
Name of school/training facility: ________________________________________
Dates of attendance: ___________________________
Certifications: _______________________________________________________
Licenses: ___________________________________________________________
Apprenticeship (# hours completed): ___________________________
Belong to Union? Which one? ___________________________
Are licenses and/or certifications still current? If not, when did they lapse?
What is needed for reinstatement? _______________________________
➢ MILITARY BACKGROUND:
Branch: ___________________________
Dates of service: ___________________________
M.O.S. (job in military): ___________________________
Training received: ___________________________
Any service-connected disabilities? ___________________________
- If yes- what is the rating? ___________________________
- What body parts? ___________________________
- Access VR&E Program (e.g., Vocational Rehabilitation/if yes, obtain specifics)?
_____________________________________
➢ COMPUTER SKILLS/EXPERIENCE:
Smartphone:
Able to: text, use apps, email, games, other? ___________________________
Tablet:
Uses: ___________________________
Social Media/Network (Facebook, Twitter, Instagram, LinkedIn, other):
How often post? _______________
On-line activity (e.g., Bill paying, shopping, social media, Facetime, etc.):
Activities: ________________________________________________________
Microsoft Office Software Knowledge:
Word __________ Excel __________
PowerPoint __________
Other Software Knowledge (detailed for jobs in I.T., Graphic Design, & computer-based occupations): ____________________________________________________________________
➢ WORK HISTORY (MOST RECENT JOB FIRST):
Name of Employer: _______________________________________________________
Location: _______________________________________________________
Job Title (chronology if changed over time): _________________________________
Wage: __________________ Commission (explain structure): ________________
Job duties: ________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
Certifications/Training/Licenses required: _____________________________
Computer Use (software used, % workday, data entry v. narrative or other): _________________________________
Manual recordkeeping? __________________
Tools/Machinery Used: ________________________________________________________________________ ________________________________________________________________________
Heaviest weight lifted? ____________ Heaviest object lifted?_____________
How often? ______________ By self or w/help? ______________
% of day Sitting ____________ Standing ____________ Walking ____________
Can job be performed from sitting or standing posture (i.e. sit/stand option)? __________
Job Performances: ________________________________________________________
Why did job end (quit-why, termination-why)?________________________________________________________________________
If any light duty performed described # hours/wk, job duties, how long accommodated? _________________________________
*For non-English speaking- how did they communicate with the employer/coworkers? _______________________________________________________________________
➢ JOB SEARCHES:
When did job searches begin? _________________________________
Develop a resume? (Who developed it?) __________________ Request copy.
Request copy of all job search records (Indeed profile, resume, cover letter, email verifications, etc.). ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Method (i.e. Indeed, Monster, Career Builder, in-person, LinkedIn, networking efforts): _______________________________________________________________________ ________________________________________________________________________
Types of job applying for? _______________________________________
No. of job applications submitted: _________________________________
List limitations on job application/job search profile/emails? __________________________
Any calls for interviews? ______________
If yes, how many & outcome? ________________________________________________
Advise employer of limitations? ______________
If offered a job and declined it- why? ______________________________________________
Understanding of work restrictions (and from which doctor): ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Ask plaintiff if he/she thinks they can work –include an entry level job within his/her restrictions-if not, why not? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
➢ADDITIONAL NOTES:
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