Selection Record Form
	
Job Title:		Panel Member:		
Candidate:		Date:		

No.*	Interview Questions	Evidence / Notes	
	1.	

		

	2.	

		

	3.	

		

	4.	

		

	5.	

		

No. *	Interview Questions	Evidence / Notes	
	6.	

		

	7.	

		

	8.	

		

	9.	

		

	10.	

		

* No. = The attribute number that is being assessed by the corresponding questions(s).