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 the scale provided. (Lowest number = Strongly Disagree and Highest number = Strongly Agree) Note that the first statement is weighted more heavily than the other two.

The applicant communicated strong motivation to become more active in bettering the community. * 246810

The applicant demonstrated high motivation to learn about both GNL and the community, its needs, and current and future responses to those needs. * 12345

The applicant will be successful and a significant contributor to the Masters Class. * 12345

Total

IMPORTANT INFORMATION for Selection Committee (100 words max) In addition to general comments about candidate, please include any information you discovered about business expertise, community interest or computer skills and proficiency. *

If you are human, leave this field blank.

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