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Gender (M/F)*Race / EthnicityApplicant NameInternal or External (I/E)Date of Interview**Action Taken Code (Please see below)**Action Taken Codes:Candidate SelectedCandidate did not show up for interviewUnable to contact candidateUnsatisfactory referencesSalary requested higher than available/budgetCandidate rejected offerCandidate withdrew/declined interviewUnfavorable interviewPerson selected had more experience in required areaCandidate indicated short time commitmentCandidate not available to work in immediate futureInterviewer(s):Selected Candidate:Anticipated Start Date:Proposed Starting Salary:$  All fields are required. Please return the completed form by email to your recruiter, or fax to Human Resources at 216-368-4678 *Race/Ethnicity Codes: HR collects certain information for statistical reporting and to meet Federal EEP/AA requirements. 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