Example Screening Form

January 2003

Name: _______________________________ Position: ________________________

Has applicant submitted all requested material by due date? _____ Yes _____ No

Cover letter addressing qualifications	_____	Vita/resume	_____
Three letters of reference	_____	Transcript (if applicable)	_____

Does applicant meet the published minimum qualifications?

Does the person: Hold the degree published? _____ Have the minimum required experience?______

Meet all 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 time.

This applicant is:                      Qualified__________Not Qualified ___________

For Qualified Applicants Only:

                                                                                                            Rating Scale
Screening Criteria                                                                            0  -  1 - 2 - 3
               ***For Rating Scale you may use:   None=0,   Good=1,   Better=2,   Best=3

Or: 0 -- 10 -- 20, Or ?? --- (Your numerical preference)***

1.	Academic coursework, teaching experience and work experience in operations management or a subset of the field like quality management, production planning and control.	________
2.	Coursework, teaching or work experience in teaching courses including operations management majors courses and core or other courses offered in the department.	_________
3.	Taught three or more years as an assistant professor at another university.	_________
4.	Demonstrated effort regarding research and publication activities.	_________
5.	Demonstrated service in a variety of contexts to university, community, and/or academic or professional organizations.	_________
	Total Score	=======

** After tabulation of scores of all applicants, applicants in the highest numerical cluster must receive an interview.