Form D: Initial Screening Form (To determine qualified and unqualified)

AA Search #____________

Name: __________________________________________________________________

Position: __________________________________________________________________

Has the applicant submitted all requested material by the due date?

Does the applicant meet the published minimum qualifications?

Does the person hold the degree that was published?    __________

Note:  If the applicant does not hold the posted/published degree at the time this form is completed, 
the answer to this question is no.

Does the person have the minimum required experience?   __________

Does the person meet all of the published minimum requirements?   __________

If the answer is no to any of the above questions, the person is not qualified and should be eliminated at 
this step in the process.

List reason(s) for disqualification:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

This applicant is:    Qualified ______    Not Qualified______

Signature of person completing this form:  ____________________________

Name: _____________________________                      Date: ____________