Interview Assessment Form
|
Characteristic or Attribute
|
Y/N |
Need more info |
|
Motivated to work with others, especially beneficiaries
|
|
|
|
Has good people skills
|
|
|
|
Has an ability to listen
|
|
|
|
Has counseling experience
|
|
|
|
Could speak in public about SHIP
|
|
|
|
Knows computers
|
|
|
|
Understands the Medicare and Medicaid programs
|
|
|
|
Has experience working with seniors
|
|
|
|
Has experience working with people with disabilities
|
|
|
|
Could help SHIP reach out to new types of beneficiaries
|
|
|
|
Has experience working in health care field
|
|
|
|
Has experience working with large bureaucracies
|
|
|
|
Has experience in trouble-shooting and problem-solving for others
|
|
|
|
Has an ability to explain complex information in simple terms
|
|
|
|
Has an ability to write clearly
|
|
|
I am excited about this candidate because:
I have the following concerns about this candidate:
This person would be a good candidate to help SHIP with (circle below):
Medicare Counseling
Program Support
Community Outreach
Other
This person can provide _______ hours per week.
This person can participate in our next orientation session on _____________________________.
This person needs training about Medicare/Medicaid on _________________________________.
