Basic Information
Candidate Name
Phone Number
Email
Interviewer's Name
Interview Date
*
First Impressions
Arrived on time?
Yes
No
Appearance professional & presentable?
Yes
No
Brought valid driver's license & proof of insurance (if requested)?
Yes
No
Authorized to work in the U.S.? Can pass background check?
Yes
No
Communication & Professionalism
Clear, fluent English?
Yes
No
Easy to understand and engaged during conversation?
Yes
No
Displayed respect and courtesy throughout?
Yes
No
Notes on communication style
Reliability & Job Readiness
Confirmed availability for Monday–Friday, 8–5:30?
Yes
No
Reliable transportation confirmed?
Yes
No
Expressed understanding of physical demands (lifting, bending, stairs)?
Yes
No
Notes on reliability/job readiness
Culture Fit Indicators
Receptive to feedback/coachable?
Yes
No
Team-oriented mindset?
Yes
No
Genuine interest in the role/company?
Yes
No
Notes on cultural alignment
Overall Ratings
Reliability / Punctuality
Attitude / Energy
Communication
Professionalism / Appearance
Culture
Final Recommendation
Final Recommendation
Strong Hire – Excellent Fit
Hire – Meets Expectations
On Hold – Needs Further Review
Not a Fit
Interviewer Notes
