Assessment Form Name of Applicant: Position:
Interviewer: Date:
Scores Interview Evaluation Description
Average
Good
Very Good
Excellent
40-54%
55-74%
75-89%
90-100%
Comments
Grooming & Appearance Previous Experience Education Positive Service Attitude Computer Skills English Language Ability Qualifications Knowledge about the Company
Department Use Only Recommend for Employment? Keep on file for future reference?
Yes Yes
No No
Replacement: Other Comments:
Position: ……………………………… Budget …………… Salary:
Min ………
Salary Offer: ………………….
Mid ……… Grade: ……...
Actual (Current)…………..
Max ……
Current Average ……….....
Starting Date: …………….
Signatures
Department Head Refusal Reason:
HR Manager
Financial Controller
General Manager