NSTC 5761/109 (11-12) PAGE 1 OF 3
NJROTC/NNDCC CERTIFICATION INTERVIEWER'S APPRAISAL
Refer to Instruction Sheet before completing APPLICATION FOR
SNSI NSI
NAME (LAST, FIRST, MIDDLE INIT)
RATE/RANK/DES
RETIREMENT DATE
YRS ACT SERVICE
DESCRIPTIVE: (Observe applicant and write six adjectives or
phrases which you believe to be most descriptive of the
applicant.
1. Interesting career history
2. Traditional values
3. Extensive involvement with youth
4. Excellent community service involvement
5. Relaxed
6. Direct
EVALUATE: Consider applicant as potential NJROTC instructor and
evaluate the following RATING FACTORS OUTSTANDING EXCELLENT
SATISFACTORY BELOW AVERAGE
1. Attitude
2. Appearance and poise
3. Oral communication and expression of ideas
4. Leadership potential
5. Eagerness to work with teenagers
6. Enthusiasm
7. Personality
8. Understanding of NJROTC
9. Education
10. Instructor experience (Explain in Narrative)
11. Military Experience
12. Youth Involvement (Scouting/Youth Groups, etc.)
13. Other community involvement
Your willingness to to have inidividual serve with you
PARTICULARLY LIKE TO HAVE
PREFER TO MOST BE PLEASED TO HAVE
BE SATISFIED WITH
PREFER NOT TO HAVE
PREVIOUS EDITIONS ARE OBSOLETE
PAGE 3 OF 3 NSTC 5761/109 (11-12)
Information for completing the Interviewer's Appraisal Sheet The
purpose of the interview is to evaluate accurately and impartially
the characteristics of the applicant to determine his/her potential
as an instructor (SNSI/NSI) in the Naval Junior Reserve Officers
Training Corps (NJROTC) program. An interview period of 15-30
minutes is usually adequate, although more time may be occasionally
necessary. The narrative should include, among other observations,
specific comments on the following: perception of the applicants
motivation for the program; comments concerning any unusual or
outstanding aspects of the applicant's appearance; an assessment of
the candidate's ability to communicate verbally, particularly with
reference to a classroom environment (e.g., does he/she appear to
be friendly or intimidating, self-assured or lacking in confidence,
tolerant or intolerant of divergent points of view, etc.);
applicant's education efforts since graduation from high school or
college (state which); a specific statement concerning the
interviewer's willingness to serve with the applicant. Marking is
at best difficult and your judgment will form an important part of
each applicant’s file, and usually represents the only personal
contact with the applicant reported by an official of the NJROTC
program. No marks should be put on this form until the interview
has been completed. If it appears that the space for the narrative
will not be sufficient, use additional paper. Upon completion of
the Interviewer's Appraisal Sheet, immediately forward to NSTC
(NJROTC) via the appropriate NJROTC area manager if conducted by an
NJROTC instructor, otherwise, directly to NSTC (NJROTC Instructor
Administration). Below is: (1) a check-off list of characteristics
which interviewing officers have indicated they can observe, and
(2) a check-off list of adjectives frequently used to describe
applicants. These lists are forwarded for the interviewer's use in
preparing for the interview and in reviewing the interview prior to
filling out the interview sheet. Neither list is intended to be all
inclusive. CHARACTERISTICS Bearing Oral Expression Objectivity
Grooming Voice quality Cooperativeness Cleanliness Ability to lead
Motivation for program Composure Vocabulary Motivation for career
Complexion Attitude toward Navy Maturity Facial Expression Attitude
toward others Self-control Mannerisms Attitude toward self
ADJECTIVES USED TO DESCRIBE APPLICANTS Attractive Careless Relaxed
Athletic Clean Still Energetic Neat Impressive Well built Dull
Unimpressive Muscular Forceful Conventional Slouchy Unresponsive
Interesting Apathetic Gabby Nervous Clean cut Ungrammatical
Aggressive Awkward Confident Flippant Unshaven Forthright
Indifferent Unclean Pleasant Enthusiastic Inappropriately dressed
Unattractive Sincere Well dressed
PREVIOUS EDITIONS ARE OBSOLETE
NJROTCNNDCC CERTIFICATION INTERVIEWERS APPRAISAL: Refer to
Instruction Sheet before completing: APPLICATION FOR SNSI NSI: NAME
LAST FIRST MIDDLE INIT: RATERANKDES: RETIREMENT DATE: YRS ACT
SERVICE: 1 Interesting career history: 2 Traditional values: 3
Extensive involvement with youth: 4 Excellent community service
involvement: 5 Relaxed: 6 Direct: Your willingness to to have
inidividual serve with youRow1: undefined: undefined_2:
undefined_3: undefined_4: PREFER NOT TO HAVERow1: PREFER NOT TO
HAVERow1_2: Your willingness to to have inidividual serve with
youRow2: undefined_5: undefined_6: undefined_7: PREFER NOT TO
HAVERow2: PREFER NOT TO HAVERow2_2: PREVIOUS EDITIONS ARE OBSOLETE:
NARRATIVE: INTERVIEWER Signature: Typed name: Grade: Date: Check
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