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									                                                                   Interview Assessment Form

                             Please submit the list of preferred candidates as selected by the interview panel for reference checking.
                                                         Resourcing section will complete reference checks


                              Recruitment Requisition No                                                Position No

                                                       Job Title                                            Interview date

                                           College/Department
Department / College Use




                              Preferred Candidate 1 Name

                              Preferred Candidate 2 Name

                              Preferred Candidate 3 Name


                              Recruitment panel

                              1. Print name (Panel Chair)                                               Signature

                              2. Print name                                                             Signature

                              3. Print name                                                             Signature:

                              4. Print name                                                             Signature:

                              5. Print name                                                             Signature:


                             Note:

                                 1.   The panel must please ensure that the preferred candidates submitted their references to be contacted in the
                                      reference checking process.
                                 2.   If the candidate did not submit references in the application please request the references during the interview
                                      and forward to HR.

                             On completion please forward to HR




                           Human Resources              Form No: HR-FRM-008                  Revision date: February 2010                           1 Page
                                          Interview Assessment Form

Section B – HR Use
Candidate Reference Report (At least two references to be checked). Please complete one form per candidate
    Candidate Name

         Question                                                 Comments
                         Reference Name                Reference Name                    Reference Name

1           Why did
         (candidate)
           leave the
          company?
2        Did s/he get
       along well with
        management
            and co-
           workers?
3           How did
         (candidate)
      handle conflict?
          How about
          pressure?
            Stress?
4            Please
         describe the
          quality and
          quantity of
        (candidate's)
             work?
5       What do you
            consider
        (candidate's)
       key strengths?
6        What would
      you consider to
      be (candidate's)
           areas for
       improvement?
7         Would you
             rehire
        (candidate) if
      the opportunity
             arose?
8           Is there
        anything else
       you would like
        to add about
        (candidate)?
Additional Comments:


References Checked by:                                       Signature:


                                 To be submitted back to the interview panel




    Human Resources              Form No: HR-FRM-008           Revision date: February 2010                  2 Page

								
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