Staffing Your Program

Tools and Techniques

Candidate Assessment Form: Field Supervisor Example

Name Of Interviewee:: _______________________________________________

1. Qualifications

High school certificate, preference given to bachelor degree holder.
Preference given to candidates with experience in social work or family planning.
Preference given to married women with two or fewer children and no children under five years of age.

Rank:	0	1	2	3	4	5
<- Lowest Score			Highest Score ->
This category has a weight of 5.

2. Skills and Abilities

Ability to write clear reports.
Ability to speak one or more local languages.

Rank:	0	1	2	3	4	5
<- Lowest Score			Highest Score ->
This category has a weight of 3.

3. Requirements of the Position

Ability to travel independently.

Rank:	0	1	2	3	4	5
	Can't travel		Limited Travel		Willing to Travel Extensively
This category is decisive. The candidate must rank three or above to qualify. If the candidate can't travel at all, she/he should not be considered for the position. The category has a weight of 1.

4. Personal Qualities

Mature and respected person; high integrity.
Enthusiasm for and dedication to work of maternal and child health and family planning.
Good interpersonal and communication skills.

Rank:	0	1	2	3	4	5
<- Lowest Score			Highest Score ->
This category has a weight of 4.

5. Attitudes:

Friendly and respectful toward clients.
Cooperative and respectful toward other ethnic or religious groups

Rank:	0	1	2	3	4	5
<- Lowest Score			Highest Score ->
This category has a weight of 4.

Summary:

Question	Rank times weight	Interviewer's comments
1. Qualifications	_____ x 5 = _____	1. ____________________________
2. Skills and Abilities	_____ x 3 = _____	2. ____________________________
3. Travel Requirements	_____ x 1 = _____	3. ____________________________
4. Personal Qualities	_____ x 4 = _____	4. ____________________________
5. Attitudes	_____ x 4 = _____	5. ____________________________
	TOTAL: _______
The highest possible score would be 95