Interview Form

Form Submitted by:

Person's First Name *

Person's Last Name *

Email Address *

Position Type

AmeriCorps Mentor
College Ambassador
AmeriCorps VISTA

Service Site *

Applicant Information (Please put legal first and last name)

First Name *

Last Name *

Birth Date *

// (mm/dd/yyyy)

Email *

Phone *

Interview Date *

Parent/Guardian Information (if Applicant is under 18)

Guardian's First Name

Guardian's Last Name

Guardian's Email

Guardian's Phone

NOTE: Comments below should specifically relate to the requirements and qualifications of the open position as outlined in the Position Description

I. His/her strengths in relation to this position are: *

II. His/her weaknesses in relation to this position are: *

III. Rate the applicant from 1 to 10 (1=poor; 10=excellent):

Application *

Interview *

IV. Recommended Action: *

Offer
Reject
Other (Please explain below)

If you chose other, please explain here:

List all of the people who were involved in the interview *

By entering my name below, I recommend the enclosed applicant for service. *

Neon CRM by Neon One

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Interview Form