Applicant Assessment Interview Form Page 2

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Interpersonal Skills ___________________________________________________
Technology Aptitude _________________________________________________
Access to Computer __________________________________________________
Accept without reservation: ___________________________________________
Accept: ___________________________________________________________
Accept with Reservation: _____________________________________________
Refer to another program: ____________________________________________
HOLOSTIC SCORE: __________HIGH __________MEDIUM _________LOW
Interviewer: ________________________________________________________
.
Street Culture Assessment: Does the candidate exhibit any of the following
characteristics?
Poor Attitude _______________________________________________
Anger _____________________________________________________
“Cool” ____________________________________________________
Defensive __________________________________________________
Entitlement _________________________________________________
Hostile ____________________________________________________
Macho _____________________________________________________

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