Candidate’s Name:
Interviewer’s Name:
Other Interview Panel Members (if applicable):
Position:
Interview Date:
Position Profile and Requirements
(These should be drawn from the Position Description)
Education (required/preferred):
Technical Skills (required/preferred):
Prerequisite job experiences:
Licenses/Certifications Required:
% Travel required:
Critical Behavioral Competencies: Competencies should be those things that differentiate candidates; competencies that will allow them to be highly successful in this role.
FOR THIS ASSIGNMENT, select five behavior-based competencies that any incumbent in your job would need to display in order to be high performer. If your organization has identified a set of leadership competencies, you may use these. OR, you may use Handout M5-2A Competency List to select five (5) competencies. You will use these five competencies as the basis for a series of behavior-based interview questions designed to illustrate experience in each of these competencies.
Rating scale
5 = Observable/Quantifiable 1 = Not Apparent/ Not Quantifiable
Competency
(Note: Competencies come from previous page and will vary by position) Priority
(if known) Circle one composite rating per Competency
1
5 4 3 2 1
2
5 4 3 2 1
3
5 4 3 2 1
4
5 4 3 2 1
5
5 4 3 2 1
Other Notes:
Competency #1 Behavior-Based Findings (based on candidate answers):
Who will ask these questions (for panel interviews):
Questions for this competency (3 to 5 primary, probe questions are optional):
Competency #2 Behavior-Based Findings (based on candidate answers):
Who will ask these questions (for panel interviews):
Questions for this competency (3 to 5 primary, probe questions are optional):
Competency #3 Behavior-Based Findings (based on candidate answers):
Who will ask these questions (for panel interviews):
Questions for this competency (3 to 5 primary, probe questions are optional):
Competency #4 Behavior-Based Findings (based on candidate answers):
Who will ask these questions (for panel interviews):
Questions for this competency (3 to 5 primary, probe questions are optional):
Competency #5 Behavior-Based Findings (based on candidate answers):
Who will ask these questions (for panel interviews):
Questions for this competency (3 to 5 primary, probe questions are optional):
Sample Solution