Medicine Applicant Evaluation Form Page 2

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Applicant’s Name _______________________________________________
Evaluator’s Name _____________________________
4. Please indicate your estimation of the candidate in each category by circling the appropriate box. Please read selections from left to
right.
Does assigned
Completes
Initiative/
Needs occasional
Original, independent,
suggested extra
work
Have not observed
prodding
imaginative
Originality
work
of own accord
Motivation (for
Simply wants to
Is uncertain of
Is among the most
be a professional
Dedicated worker
Have not observed
becoming a
motivated
career goals
(any type)
veterinarian)
Intellectual
Exceptional
Have not observed
Below average
Average
Above average
intellectual capacity
capacity
Personal and
A
Below average
verage maturity
Exceptionally mature
Above average
Have not observed
social maturity
Unquestioned
Dependability
Doubtful
Above average
Usually reliable
Have not observed
reliability
and reliability
reliability
reliability
Easily upset
Usually stable,
Emotional
Very excitable
Stable, well balanced
Have not observed
stability
occasionally
poised
a leader
Leadership
Outstanding leader
Satisfied to follow
Frequently a leader
Have not observed
Occasionally
Absolutely trustworthy,
Compromises
Character and
No serious flaws in
Untrustworthy
observes high-quality
Have not observed
ethics
ethics or integrity
integrity
ethics
for personal gain
Moderately
Articulate, clear,
Above average
Below average
Verbal Skills
Have not observed
fluent
articulate
Acceptance of
Resistant to
Sometimes
Have not observed
feedback and
Seeks out feedback
constructive
resistant to
Accepts feedback
feedback
instruction
feedback
5. Ability to handle animals (circle one). Please read selections from left to right.
Acceptable ability
Acceptable ability
Acceptable ability
with small and large
Below
Have not observed
with large animals
with small animals
animals
average
6. What do you consider the applicant’s major strength(s)?
7. What do you consider the applicant’s major weakness (es)?
8. Please tell us how you came to know this candidate.
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