Administrative Screening Form

Name of applicant: ______________________________

Date resume received: __/__/__

Name of reviewer: ______________________________

 

Skills and Abilities	Has Skill	Lacks Skill	Doesn't Say
Organizational development
Budget manager
Relationship building
Quality improvement
Communication at multiple letters
Fundraising
Grant administration
Regulatory compliance
Creation of a team
Health care

Education: ______________________________

Experience: ______________________________

Next step:

Interview_____     Letter: not a candidate_____     Letter: hold_____