Sample Initial Screening Evaluation Form

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Sample Initial Screening Evaluation Form— Individual Evaluation
Assistant Professor of Education and Human Development, Special Education
Candidate Name: ___________________________ Committee Member: ______________
Please circle one rating for each qualification.
Required Qualifications:
1. Evaluation of Academic Degrees
5
4
3
2
1
PhD
ABD
Comment on evidence that led to this rating:
2. Teaching Experience in Education and Human Development- specifically Special Ed.
5
4
3
2
1
Extensive
No teaching experience
Comment of evidence that led to this rating:
3. Scholarship
5
4
3
2
1
Extensive
No scholarship
Comment on evidence that led to this rating:
Preferred Qualifications:
4. Ability to advise academic majors
5
4
3
2
1
Experienced
No Experience
Comment on evidence that led to this rating:
5. Familiarity with classroom technologies
5
4
3
2
1
Excellent
Poor
Comment on evidence that led to this rating:
Other comments:
Recommended for interview ?
Yes
No

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00 votes

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