APPLICANT NAME:
REQUISITION⁄NB #:
Interview Result:
o Select
o Strongly recommended
o Recommended
o Not recommended (provide reason below)
o Not eligible⁄not suitable (explanatory comments required below)
o Did not attend scheduled interview ⁄ failed to respond
Reason Not Recommended:
Reason Not Eligible⁄Suitable:
o May not meet driving requirements
o Does not have 2 years continuous driving experience
o License currently suspended
o Selective Service Registration requirement not met — validated at http:⁄⁄www.sss.gov
o Military history concerns
o Employment history concerns
o Postal Service history concerns
o Basic English competency not demonstrated
Applicant requested Accommodation:
o Religious
o Disability
Federal Employment:
o Applicant is a current Postal Service employee — where? _______________________________
o Applicant is a former Postal Service employee
o Applicant works or has worked for another federal agency
o I am a certified Interviewer
__________________________________________________________ (Print Name)
____________________________________________________ __________________________(Sign Name) (Date)
