Caseworker Interview Assessment Form printable pdf download

Caseworker

Interview Assessment Form



Round One

Date:



Recommend for Round Two

Classification:



Do Not Recommend for Round Two

Candidate’s Name:



Round Two

Interviewer Name(s):



Recommend for Hire



Do Not Recommend for Hire at this Time

Part A: Competencies

Instructions: Check the rating next to the numeric score that best represents the candidate’s proficiency level

in each competency area based on his/her responses to the interview questions. Tally the numeric scores in

the right-hand column and place that score into the Total Score section on page three. Please include any

comments at the end of the section.

No Evidence of

Marginally

Proficient

Exceeds

Greatly

Numeric

Competency

Proficiency

Proficient

Exceeds

Score

(1)

(2)

(3)

(4)

(5)

Adaptability: Adapts well to changes in assignments and priorities adapts behavior or work methods in

response to new information, changing conditions, or unexpected obstacles; approaches change positively and

adjusts behaviors accordingly.

Building Trust: Interact with others in a way that gives them confidence in one’s motives and representations

and those of the organization. Is seen as direct and truthful; keeps confidences, promised, and commitments.

Collaboration: Builds constructive working relationships with clients/customers, other work units, community

organizations and others to meet mutual goals and objectives. Behaves professionally and supportively when

working with individuals from a variety of ethnic, social and educational backgrounds.

Communication: Clearly conveys and receives information and ideas through a variety of media to individuals

or groups in a manner that engages the listener, helps them understand and retain the message and invites

response and feedback. Keeps others informed as appropriate. Demonstrates good written, oral, and listening

skills.

Cultural Competence: Cultivates opportunities through diverse people; respects and relates well to people from

varied backgrounds, understands diverse worldviews, and is sensitive to group differences; sees diversity as an

opportunity, challenges bias and intolerance.

Decision Making/Problem Solving: Breaks down problems into components and recognizes interrelationships;

makes sound, well-informed, and objective decisions. Compares data, information, and input from a variety of

sources to draw conclusions; takes action that is consistent with available facts, constraints, and probable

consequences.

Stress Tolerance: Maintains effective performance under pressure; handling stress in a manner that is

acceptable to others and to the organization.

Work Standards: Sets high standards and well-defined, realistic goals for one’s self; displays a high level of

effort and commitment towards completing assignments in a timely manner; works with minimal supervision is

motivated to achieve.

Total Score Competencies:

Caseworker Interview Assessment Form

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