Caseworker Interview Assessment Form Page 4

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Group Worker I
Interview Assessment Form
Classification:
Date:
Candidate’s Name:
Recommendation:
Interviewer Name(s):
Consider for Future Opening
Do Not Hire
Part A: Competencies
Instructions: Check the rating next to the numeric score that best represents the candidate’s
proficiency level in each competency area based on his/her responses to the interview questions. Tally
the numeric scores in the right-hand column and place that score into the Total Score section on page
3. Please include any comments at the end of the section.
No Evidence of
Marginally
Greatly
Proficient
Exceeds
Numeric
Competency
Proficiency
Proficient
Exceeds
(3)
(4)
Score
(1)
(2)
(5)
Action Oriented: Consistently maintains high levels of activity or productivity; sustains long working hours
when necessary, works with vigor, effectiveness and determination over a sustained period
Adaptability: Adapts well to changes in assignments and priorities adapts behavior or work methods in
response to new information, changing conditions, or unexpected obstacles; approaches change
positively and adjusts behaviors accordingly.
Applied Learning: Able to learn and properly apply new job-related information in a timely manner. Has
the ability to absorb and comprehend job-related information from formal training and other formal and
informal learning experiences
Communication: Clearly conveys and receives information and ideas through a variety of media to
individuals or groups in a manner that engages the listener, helps them understand and retain the
message, and invites response and feedback. Keeps others informed as appropriate. Demonstrates good
written, oral and listening skills.
Conflict Management: Uses appropriate interpersonal styles and techniques to reduce tension and/or
conflict between two or more people; able to size up situations quickly; able to identify common interests;
facilitates resolution.
Customer/Client Focus: Makes customers/clients and their needs a primary focus of one’s actions;
shows interest in and understanding of the needs and expectations of internal and external customers
(including direct reports); gains customer trust respect; meets or exceeds customer expectations.
Initiative: Takes action without being asked or required to; achieves goals beyond job requirements;
being proactive; taking prompt action to accomplish objectives.
Stress Tolerance: Maintains effective performance under pressure; handling stress in a manner that is
acceptable to others and to the organization.
Total Score Competencies:
1

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