Human Resource
Interview Assessment Form
Position for which Applicant is being considered:
Name of the Applicant :
Age:
Experience
Evaluation of
1. Manner &
Appearance
2. Education
3. Experience/
Job Knowledge
4. Intelligence
5. Co-operativeness
6. Keenness &
Industry
Issue Date: 01st Aug 10
Single :Married :REQUIREMENTS
Gross salary
Others
Rating
a) Manner & appearance are distinct assets
b) General bearing good-quite impressing
c) Average, some self assurance, neither nervous
nor diffident
d) Manner fair only
e) Slovenly, extremely nervous and creates
generally a poor impression
a) Extremely good record. Excellent advancement
shown
b) Good, useful record of advancement
c) Average record
d) Only a fair record
e) A very poor record
a) Extremely good record on the right sort of
works; excellent advancement shown
b) Good record of work and advancement
c) Reasonable record
d) Only a fair record
e) A very poor record
a) Very bright indeed. A high level of material
alertness
b) Intelligent - quick on uptake and
understanding
c) Reasonable level - neither bright nor dull
d) Mental reactions inclined to a trifle sluggish
e) Nor bright - rather dull witted
a) Likely to be exceptionally cooperative and
helpful
b) Likely to be very willing and helpful
c) Will work reasonably well with others
d) Will not make much efforts to cooperate
e) May be difficult and a source of friction
a) Likely to be extremely keen hardworking and
preserving
b) Should be a good keen worker
c) Moderately interested and hardworking
d) Will not work as well as most. Lacks real pep
and go
e) Seems to be lazy and disinterested
Version No: 6.0
Points
9
7
5
Scored
3
1
9
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3
1
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1
9
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3
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Page 1 of 4
7. Initiative
8. Leadership
9. Character and
Loyalty
10. Final
Assessment
Employment
Recommendation
Yes
: ______
Doubtful: ______
No
: ______
a) Very quick to seize opportunities and develop
them to the full – very resourceful and original
b) Has the courage to make rapid decisions progressive in thought and action
c) Not afraid to take responsibility but would
prefer guidance
d) Inclined to play safe - more of routine worker
type
e) Shuns responsibility - lets opportunities slip by
a) Should be very capable and inspiring leader
b) Likely to be good at handling others
c) Should have a reasonable success at getting
the best out of people
d) Likely to have a only fair success as leader
e) Lacks leadership qualities
a) Very well adjusted. High sense of duty and
responsibility
b) Good, steady reliable type
c) Reasonably well adjusted and dependable
d) Rather under developed, or perhaps likely to
crack up if circumstances were against him
e) Unreliable either through poor moral code of
Adjustment.
a) A very fine, all round type, should do
extremely well
b) a good type - should make a good employee
c) An ordinary, average person
d) Not impressing, definitely below average
3) A poor type, not work engaging
Remarks
Total Score
9
Name of the interviewer: ______________
____________
Signature:
7
5
3
1
9
7
5
3
1
9
7
5
3
1
9
7
5
3
1
Please circle your responses to the following questions:
1. The applicant has the knowledge, skills, and abilities to perform the duties of this
position:
Strongly Agree
Agree
Disagree
Could not
determine
2. The applicant views this position with excitement and enthusiasm:
Strongly Agree
Agree
Disagree
Could not
determine
3. The applicant has the appropriate level of experience necessary for this position:
Strongly Agree
Agree
Disagree
Could not
determine
4. The applicant displayed the ability to participate effectively in a team environment and
motivate and lead the staff (if applicable):
Strongly Agree
Agree
Disagree
Could not
determine
5. The applicant displayed ability to communicate well with all constituents.
Strongly Agree
Agree
Disagree
Could not
determine
6. The applicant should be included in the final list of recommended applicants:
Strongly Agree
Agree
Disagree
Any additional comments you have about this candidate:
Could not
determine