FORM #5
Please approve before forwarding to the Office of Institutional Equity and Diversity
Initials
Date
Department Chair
________
_______
Dean
________
_______
Vice President
________
_______
INTERVIEW SELECTION FORM
(FOR ALL FACULTY/ADMINISTRATIVE POSITIONS)
Prior to scheduling formal/final interviews, this form must be submitted to the Office of Institutional Equity and
Diversity via your Dean. Please allow five days for processing before inviting candidates to campus for interviews.
POSITION TITLE/RANK/SPECIALIZATION:
POSITION NUMBER:
REPLACEMENT FOR (OR NEW POSITION):
DEPARTMENT:
COLLEGE:
SUBMITTED BY:
PHONE:
DATE:
NOTE: It is the policy of the University to develop a diverse pool of applicants for the position. Ideally pools should
Equity and Diversity
include women and minority candidates. Please contact the Office of Institutional
for a
numerical summary of applicants.
I. NUMERICAL SUMMARY OF ALL APPLICANTS:
TOTAL:
WOMEN:
BLACK:
OTHER MINORITY:
II. NUMERICAL SUMMARY OF ALL MINIMALLY QUALIFIED APPLICANTS:
TOTAL:
WOMEN:
BLACK:
OTHER MINORITY:
III. IDENTIFICATION OF ALL CANDIDATES WHO HAVE ALREADY HAD
INFORMAL/PRELIMINARY INTERVIEWS INCLUDING CONFERENCES, DROP-
INS AND UNSOLICITED APPLICANTS.
(List and briefly evaluate the credentials of all candidates who
have already been interviewed. Indicate women candidates by an asterisk *, African American/Black with an at sign @, and
other minority candidates by a plus sign +; use both if applicable.)
NAME/EVALUATION OF QUALIFICATIONS:
Updated 06/2011