Interview Checklist

 

 

 

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THE B-PSA - BRITISH COLUMBIA

 

INTERVIEW CHECKLIST

 

NAME OF PERSON BEING INTERVIEWED:___________________________________________________

 

Confidential interview to be completed by one or two B-PSA Interviewers.  Checklist to be completed following the interview, not in the presence of the volunteer.

 

INTERVIEWED BY:__________________________       _____________________________

Name                                                                                                  Scouting Role

           ________________________________        ___________________________________

Name                                                                                 Scouting Role

 

             Date: Month______________ Day_______________ Year____________

 

YES         NO

[ ]            [ ]            Will accept the Principles of B-PSA Scouting?

[ ]            [ ]            Will demonstrate personal values comparable with these Principles?

[ ]                            [ ]            Will subscribe to the program of the section she/he will work with?

[ ]                            [ ]            Will be comfortable with, enjoy and care for the age group she/he will work with?

[ ]                            [ ]            Will follow the Policy, Organisation & Rules (PO&R) of the Association??

[ ]                            [ ]            Will be a good role model?

[ ]                            [ ]            Will be willing  to work cooperatively with other adults?

[ ]                            [ ]            Will be willing to be open, honest and objective in evaluations?

[ ]                            [ ]            Has provided a Police Record Check as requested?

[ ]                            [ ]            Has provided the 4 character references?

 

REFERENCE CHECKS: Four knowledgeable adult references must be provided by the applicant,  and each contacted and checked. (No family members permitted)

 

 

 

How long the reference has known the applicant?

 

Relationship to the applicant?

 

Applicant works well with youth?

 

Applicant works well with adults?

 

Are you willing to have the applicant work with children, your own or others?

 

Willing to recommend applicant to

BPSA-BC?

 

Name:

 

Phone No

 

Date Contacted

 

By:

 

 

 

 

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

Name:

 

Phone No.

 

Date Contacted

 

By

 

 

 

 

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

Name:

 

Phone No.

 

Date Contacted

 

By

 

 

 

 

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

Name:

 

Phone No.

 

Date Contacted

 

By

 

 

 

 

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

circle one:

 

yes

 

no

 

uncertain

 

 

 

 

   

 

 


Additional Information:

Peer- Level Topic Links:
 [ Abuse Prevention Program ] [ Interview Checklist ] [ Youth First ]

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Last modified: October 15, 2016.