Selection Record Summary Form
	
Job Title:		Lead Officer:		
Date:		Panel Member 2:		
		Panel Member 3:		
		Panel Member 4:		

No.	Attribute	Evidence
Source#	Candidate No.	
			1*	2*	3*	4*	5*	6*	

	

								

	

								

	

								

	
								
No.	Attribute
	Evidence
Source	Candidate No.:	
			1*	2*	3*	4*	5*	6*	

	

								

Decision:

Additional Comments:
	
Lead Office Signature:		
Date:	

*Key:	Y=	Adequate evidence to match the attribute		#Key:	AP =	Application form	
					IN =	Interview	
	N=	Inadequate evidence to match the attribute			PR =	Presentation	
					OT =	Other Test