Work+Base+Learning

**  INTERVIEW EVALUATION FORM   ** Student Interviewed: __________________________ Career Objective/Pathway: __________________ Appearance  ||   ||   ||   || Personality  ||   ||   ||   || Desire to be enrolled in the program  ||   ||   ||   || Concept of program’s purpose  ||   ||   ||   || Summary of student’s interests, abilities, and adaptability relative to career objective: ____________________________________________________________________________________     ____________________________________________________________________________________      ____________________________________________________________________________________      ____________________________________________________________________________________      Student’s plans following high school: ____________________________________________________ __ ___________________________________________________________________________________   __    Work experience: _____________________________________________________________________ __ _________________________________________________________________________________ __ ___   __  ___________________________________________________________________________________   __    Reaction when asked if he/she would change personal appearance in order to become employable or keep employment:  ______________ Reaction to student organization: Possible Job Sites: ________________________________ _________________________________     Comments: 
 * WORK-BASED LEARNING  **
 * || **   Above Average   **  ||  **   Average   **  ||  **   Poor   **  ||