YOUTH PROTECTION POLICY
PB410 (form I)
Sample Interview Report
NDSU Extension Service
Use this form for notes when conducting (recommended, but optional) applicant interview.
Name of volunteer ___________________________________________________________________________________________
Position discussed ___________________________________________________________________________________________
Location of interview___________________________________________________ Date of Interview______/______/______
Name of interviewer _________________________________________________________________________________________
NOTE: Interviewer could choose at least one question from each category below. Throughout the interview, consider how
well the volunteer and the position fit together. Consider how the volunteer listens, responds, and asks questions.
LEADERSHIP SKILLS –
• What skills and qualifications do you have? • Describe how others would view you as a role model?
• How do you promote teamwork? • How will you involve parents in your programs?
• What leadership roles have you had? • What kinds of rewards help you stay motivated?
Comments:
HUMAN RELATIONS SKILLS –
• What experiences have you had in working • How would you handle a situation with:
with adults and children? – A disruptive or unresponsive child?
• What kind of people do you work with easily? – A child who deliberately defies your request for cooperation?
• How do you handle conflict? – A child who consistently misses meetings without explanations?
• How do you handle criticism? • How would you work with an upset parent or volunteer?
• What kind of people do you find hard to
work with and how do you handle that?
Comments:
AFFIRMATIVE ACTION –
• What experiences have you had working with • How do you feel about working with people different from yourself?
people of different backgrounds? (Ex: different racial, ethnic, socio-economic or developmentally
disabled backgrounds.)
Comments:
ORGANIZATIONAL SKILLS –
• How do you manage your time? • Describe instances when you have planned or conducted meetings.
• What record keeping experience have you had? • Are you willing to attend training to assist you in your volunteer
• Describe how you would help a youth come role?
to a decision.
Comments:
ADAPTABILITY –
• How do you do when a situation doesn’t • How do you cope with stresses?
go as you planned?
Comments:
DEPENDABILITY –
• Describe one project or event for which you • What might you do if you are unable to complete a commitment?
had responsibility from the beginning to end. • Do you have available transportation, if needed?
Comments:
COMMUNICATION SKILLS –
• How would you rate your speaking skills? • What ways could you use to communicate with youth,
• What makes a good listener? adults or families you would work with?
Comments:
UNDERSTANDING 4-H (for volunteer applicants who will work in the 4-H
program) –
• What does 4-H mean to you? • What is your view on competition?
• What things do you want to happen in 4-H? • Why do you want to be a 4-H volunteer?
• What is your view on competition?
Comments:
INTERVIEWER COMMENTS –
Based on the interview, would you recommend the volunteer’s acceptance to this position?
❑ Yes ❑ No ❑ Uncertain If no or uncertain, explain:
Based on the interview, would you recommend the volunteer’s acceptance to another position?
❑ Yes ❑ No ❑ Uncertain If yes, specify:
Action or follow-up needed:
Signature of Interviewer_________________________________________________________________ Date ______/______/______
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PB410