Mythical University
Staff Initial Screening Evaluation Form
Candidate Name:
1. Evaluation of Academic Degrees
Ph.D. 5 4 3 2 1 M.F.A.
Comment on Evidence that let to this rating:
2. Work-related Experience
Extensive 5 4 3 2 1 no work experience
Comment on evidence that led to this rating:
3. Technical Background
Extensive 5 4 3 2 1 no technical background
Comment on evidence that let to this rating:
4. Familiarity with software, particularly __________________________
Excellent 5 4 3 2 1 Poor
Comment on evidence that led to this rating:
5. Ability to supervise
Excellent 5 4 3 2 1 Poor
Comment on evidence that led to this rating:
6. Communication Skills
Excellent 5 4 3 2 1 Poor
Comment on evidence that led to this rating:
7. Fit for the Department, Program, College
Excellent 5 4 3 2 1 Poor
Comment on evidence that led to this rating:
8. Other comments:
Candidate Score: _______
Should we interview this candidate? Yes _____ No _____ Unsure _____
Reviewer:
Note: There should be a measurement for every requirement listed on the job description,
including preferred qualifications.