Name of Applicant____________________________________
Position____________________________________________
Department _________________________________________
Answer the following questions as they pertain to the requirements of the job:
Education
[ ] exceeds job requirements
[ ] meets job requirements
[ ] does not meet job requirements
[ ] not applicable for this position
Comments____________________________________________
_____________________________________________________
Relevant Job Experience
[ ] exceeds job requirements
[ ] meets job requirements
[ ] does not meet job requirements
[ ] not applicable for this position
Comments____________________________________________
_____________________________________________________
Supervisory Experience
[ ] exceeds job requirements
[ ] meets job requirements
[ ] does not meet job requirements
[ ] not applicable for this position
Comments____________________________________________
_____________________________________________________
Technical Skills
[ ] exceeds job requirements
[ ] meets job requirements
[ ] does not meet job requirements
[ ] not applicable for this position
Comments____________________________________________
_____________________________________________________
Interpersonal Skills
[ ] excellent
[ ] satisfactory
[ ] unsatisfactory
[ ] not applicable for this position
Comments____________________________________________
_____________________________________________________
Motivation
[ ] excellent
[ ] satisfactory
[ ] unsatisfactory
[ ] not applicable for this position
Comments____________________________________________
_____________________________________________________
Strengths
Comments____________________________________________
_____________________________________________________
Weaknesses
Comments____________________________________________
_____________________________________________________
Overall Ranking
[ ] excellent/exceeds job requirements
[ ] satisfactory/meets job requirements
[ ] unsatisfactory/does not meet job requirements
Comments____________________________________________
_____________________________________________________
Interviewer name _____________________________________________
Date of interview ________________________________________
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