College of Nursing UNIVERSITY of FLORIDA

Unit Interview Form

Thank you very much for your time and consideration of our student for this intensive clinical experience on your unit. If you would, please take a moment following your interview to complete this form.

Candidate's Name(Required)

First Last

Date of Interview(Required)

Interviewer Name(Required)

First Last

Email(Required)

Contact Phone(Required)

Unit(Required)

Positions(Required)

Please respond to the following using a rating scale of 0-5 where 0 indicates not at all and 5 indicates very well

1. The candidate was able to describe why they wish to be considered for the Honors Clinical(Required)

Additional Comments

2. The candidate was able to articulate a time when they experienced conflict and how they addressed it OR could provide a hypothetical of the situation(Required)

Additional Comments

3. The candidate was able to articulate how equity and inclusion is invaluable to nursing(Required)

Additional Comments

4. The candidate demonstrated professional behavior throughout the interview(Required)

Additional Comments

5. The candidate asked questions relevant to the expectations of the clinical experience(Required)

Additional Comments

6. I recommend this candidate for acceptance into the Honors Clinical Course without hesitation(Required)

(Where 0 indicates "Not at All" and 5 indicating "Completely"

Additional Comments

Again, thank you for your time and consideration of this candidate for this opportunity. Feel free to call Debra Lynch Kelly, Associate Dean for Academic Affairs Undergraduate Education in the UF College of Nursing, at 352-273-6390 if you have concerns or questions.