INITIAL or INDIVIDUAL INTERVIEW FORM

Name of Applicant : _______________________________________ Date Interviewed: _________________

Position Applied For : _______________________________________ Department: ______________________

I. GENERAL APPEARANCE – consider the total effect of the applicant’s appearance. How does his appearance impress you?
1. Creates an excellent appearance; a very likeable person _______
2. Appearance is ordinary; generally satisfactory _______
3. Makes a poor impression; careless in appearance slovenly unkempt _______

*OTHERS: _______________________________________________________

II. MANNER of SPEAKING (Voice and Speech) – how well does he talk? Does he express himself clearly and adequately?
1. Very good expression and speech – clear, forceful and effective _______
2. Average expression, talk fairly well but not with great fluency _______
3. Poor expression, finds difficulty in expressing his thoughts, rambling & confused _______

*OTHERS: ______________________________________________________

III. PHYSICAL CONDITION – How physically energetic is he/she?

1. Full of pep and energy; active _______
2. Average amount of activity _______
3. Quite inactive; looks weak and sickly _______

*OTHERS: _______________________________________________________

IV. ALERTNESS – consider the applicant’s ability to comprehend your questions speedily and anticipate your thought. Does
he/she have the capacity to transfer attention from one subject to another quickly? Is there a lag in his reaction to your
discussion? How mentally alert is he/she?
1. Keen alert mind; grasps ideas quickly _______
2. Normally alert _______
3. Somewhat slow _______

*OTHERS: _______________________________________________________

V. SELF-CONFIDENCE – how self-assuring is he/she? Is he/she wholesomely self-confident and assured, or does he/she seem
uncertain of himself/herself?
1. Aggressive; shows strong determination, takes risks _______
2. Normal self-confidence _______
3. Marked feeling of inferiority; somewhat hesitant, indecisive, nervous, worried _______

*OTHERS: _______________________________________________________

VI. ABILITY TO GET ALONG WITH OTHERS – how sociable and friendly is he/she? Does he/she seem to be a good mixer?
1. Approachable, likeable; able to win friends easily _______
2. Somewhat reserved or retiring; shy _______
3. Does not easily attract friends. Displays and arouses antagonism; tactless _______

*OTHERS: _______________________________________________________
(see back page please…)
Con’t…
VII. ABILITY TO PRESENT IDEAS
1. Unusually logical, clear and convincing. Has superior ability to express himself _______
2. Usually gets across his ideas well _______
3. Confused and illogical, vague _______

*OTHERS: _______________________________________________________

VIII. MATURITY of JUDGMENT

1. Analytical and resourceful; shows vision, yet practical _______
2. Acts judiciously under ordinary circumstances _______
3. Fails to analyse, narrow viewpoint; sees only the surface of things _______

*OTHERS: _______________________________________________________

****FOR APPLICANTS WITH PREVIOUS JOB EXPERIENCE:

IX. HOW GOOD IS HIS/HER WORK RECORD?

1. Excellent; never changed jobs unless there was a clear and good reason for the move _______
2. Average; some changes without reason and some with good reason _______
3. Poor; several moves without apparent reason _______

X. HOW MUCH INITIATIVE IS INDICATED BY HIS/HER PAST JOBS AND WORK EXPERIENCE?
HAS HE/SHE BEEN A “SELF-STARTER”?
1. Has a great deal of initiative; has done many things that show real desire to get ahead. _______
2. About as apt to go ahead as not; performance variable _______
3. Practically no initiative; has done little or nothing “on his own” _______

COMMENTS & OBSERVATIONS:

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RECOMMENDATION:

 Unfavorable ( )
 Possible further consideration ( )
 For comparison with other applicants ( )
 Definitely to be considered ( )

_____________________________________
Interviewer (signature over printed name)