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
approximately normal distribution is achieved. Tick one box on each row of the grid.

Poor
(Bottom
10%)

Below
average

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)
Interviewers overall assessment

B. Notes and comments (including any overriding reasons to accept or reject)

C. Recommendation of interview panel

Please tick

Recommendation

Accept

Reject

Borderline

Average

Above
average

Excellent
(Top
10%)