INTERVIEW ASSESSMENT FORM
POSITION TITLE
NAME OF THE CANDIDATE
Department Grade Level
/ /
Date Of Birth (Age) Salary Range
( )
Experience (In
Interview Date / /
Yrs)
Current CTC (PA) Notice Period
Expected CTC (PA) Position New Position/Replacement
ASSESSMENT SCALE
CATEGORY RATING OUT OF 5 SCALING
EXCELLENT (STRONGLY 45 – 50
RECOMMENDED)
GOOD (RECOMMENDED) 30 TO 45
NOT SUITABLE Below 30 /50
RATING
REMARKS / IDENTIFICATION (If
SL ASSESSMENT PARAMETERS OUT OF
any)
5
APPEARANCE / PERSONALITY
1 Neatness / Grooming / Body Languge / Eye
Contact
COMMUNICATION SKILL
2 Listening / Politeness / Participation / Body
Language
3 EDUCATIONAL QUALIFICATION
Relevance with Position
4 JOB KNOWLEDGE
Role Clarity / Technical / Management Skill
RELEVANCE OF EXPERIENCE
5 Check with previous experience profile /
Skills
TEAM PLAYER
6 Common Goals / Participations /
Cooperation’s
7 ATTITUDE
Professional / Enthusiastic / Go-Getter
8 CULTURAL FIT
Organizational Value / Style / Process
SELF MOTIVATION / INITIATIVE /
COMMITMENT
9 Ability to learn / Display of enthusiasm and
excitement / Believe in Change / New
Initiatives / Committed.
LEADERSHIP (Apply to
Superiors,TL’s / HOD)
10 Accountability / Planning & Prioritization /
Decision Making / Mentoring / Motivates
and Develops others.
Excellent / Good / Not Suitable
Total :
(Tick Appropriate)
FREQUENCY OF JOB CHANGE Justified Unjustified No Change
Justified Less than Morethan
EXPERIENCE
required required
QUALIFICATION Justified Under Qualified Over Qualified
FAMILY BACKGROUND
(Spouse, Children’s, Father, Mother)
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INTERVIEW ASSESSMENT FORM
KEY FUNCTIONAL EXPERTISE (STRONG NEED IMPROVEMENTS (WATCHOUT
AREAS) AREAS)
1. 1.
2. 2.
3. 3.
4. 4.
FINAL FEEDBACK & DECISION OF PANEL MEMBERS:
OVERALL PERFORMANCE: (Tick Appropriate) – Suitable / Not suitable
Recommend YES May be considered Not
YES ( ) YES ( )
ed for ( ) for some other Recomende
NO ( ) NO ( )
Selection NO ( ) position d
SIGNATURE OF INTERVIEWER SIGNATURE OF PANEL /HOD
SIGNATURE OF COO / CEO
Name: Name : Name :
Date : Date : Date :
FOR HUMAN RESOURCES DEPARTMENT’S USE ONLY
IF Selected:
POSITION REPLACEMENT OR NEW POSITION (TICK APPROPRIATE)
Position vacant Position
/ / Yes / No
Date Approval
Existing Offered
Designation Designation
Replacement of Reporting
(If) Officer
Exisiting Salry Agreed CTC
Bracket (PA)
Expected
Expected DOJ
relieving Date
Work Location / Job
Yes / No
Region Description
# Mention “Not Applicable” wherever required
CANDIDATE SOURCE:
Comments if any: INTERVIEW TRAVEL Yes / No
EXPENSES
AMOUNT PAID Rs.
Any Commitment after Probation:
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INTERVIEW ASSESSMENT FORM
SIGNATURE OF LEAD / HEAD - HR : __________________________
NAME :
DATE :
Page 1 | 2
