Subject Area:
Interviewer's Name:
Date:
Time Spent:
Please address your comments to the following Items:
General Competence in the area covered by this interview:
Student's ability to attack and solve problems with which he/she is familiar:
Student's ability to attack and solve problems with which he/she is unfamiliar:
Other Comments: eg. student's ability to communicate and to respond to questions and observations
Please check one of the summary boxes: In my opinion, the student is:
Interviewer's Signature: