UCL MEDICAL SCHOOL
Interview Assessment Form
Date:
Panel number:
UCAS number:
Candidate name:
Interviewer name:
Signature: ___________________________________
A. Assessment of candidate
Please score the candidate in the areas listed, using the scale illustrated, so that an
Poor
Below
Average
Above
Excellent
approximately normal distribution is achieved. Tick one box on each row of the grid.
(Bottom
average
average
(Top
10%)
10%)
Intellectual potential, curiosity and robustness to cope with course
Motivation for (and understanding of) a career in medicine
Awareness of medical/scientific issues
Ability to express/defend opinions (incl. discussion of BMAT
response)
Attitude (factors such as caring approach, maturity, flexibility,
integrity)
Individual strengths (social, musical, sporting interests/activities)
Communication skills (verbal ability, clear reasoned responses,
listening skills)
Interviewer’s overall assessment
B. Notes and comments (including any overriding reasons to accept or reject)
C. Recommendation of interview panel
Please tick
Accept
Reject
Borderline
Recommendation