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)
MM slash DD slash YYYY
Interviewer Name(Required)

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

012345
012345
012345
012345
012345
012345
(Where 0 indicates "Not at All" and 5 indicating "Completely"

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.