Member Screening/interview Evaluation Form (Page 2 of 2) in pdf

Member Screening/Interview Evaluation Form ▪ Page 2 of 2

7. _________ Describe a time when your expectations were not met and how you dealt with it.

8. _________ Overall impression: Is there anything else you would like to share that would help us in making our decision?

Drivers We need to have several drivers per team throughout the service year to break up driver responsibilities. You do not have to be a

driver in order to get a position with our organization, but we would like to determine those who are eligible.

In order to be a driver in our program you must meet the following criteria: 21 years of age; valid driver’s license; clean driving record;

able to produce a driving abstract that will show no more than two moving violations in the past 3 years). You also need to feel

comfortable driving a 15-passenger vehicle and willing to take a defensive drivers training class. Do you qualify?

Yes

If yes, you will be notified prior to orientation if you have been selected to be a driver.

Commitment The program commitment is __?_. Since our program is so competitive and there are so many people excited about

positions with us, please consider all of our program expectations before accepting a placement with us, so that you don’t take a

position away from someone else.

TOTAL SCORE ____________

RECOMMENDATION

Field Team Interviews

IP Interviews

Not Good Match

Explanation if necessary:

SCREENING

⁯ Yes ⁯ No Is applicant of legal age to participate?

⁯ Yes ⁯ No Is applicant a legal, permanent resident?

⁯ Yes ⁯ No Is applicant clear of any legal convictions? (If no, please indicate at the end of the form).

_______ Overall Rating based on the following skills: Motivation and Commitment, Flexibility, Maturity, Interpersonal Skills,

Productive Capacity, Related Work/Volunteer Experience

Please list strengths and weaknesses. Note anything that would discourage an interview altogether.

Comments:

Member Screening/interview Evaluation Form Page 2