Interviewers:  Please complete this form within 12 hours after the interview.  If you have questions, please contact jeannebolds@mac.com.

Candidate and Interview Information

Candidate First Name *

Candidate Last Name *

Date of Interview *

Time of Interview

121234567891011 : 0030 AMPM

Location of Interview *

Interviewer #1 *

Interviewer #2 *

Please rate the following using a scale from 1 to 7,
1 being "Strongly Disagree" and 7 being "Strongly Agree"

The applicant is highly motivated to learn about the community, its needs and current and future responses to those needs. * 1 2 3 4 5 6 7

The applicant is highly motivated to become more active in bettering the community. * 1 2 3 4 5 6 7

The applicant will be highly successful and a significant contributor to the Masters Class. * 1 2 3 4 5 6 7

Total

Interview Comments (100 words max) *

If you are human, leave this field blank.

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