{{company_name}}
{{company_address}}
Phone: {{phone}} | Email: {{email}} | Web: {{website}}
Communication Style Assessment
Complete all sections of this communication style assessment in BLOCK CAPITALS. Incomplete forms cannot be processed.
Employee Details
| Field | Detail |
|---|---|
| Full Name | {{employee_name}} |
| Employee ID | {{employee_id}} |
| Job Title | {{job_title}} |
| Department | {{department}} |
| Manager | {{manager_name}} |
| Date | {{current_date}} |
Request / Information
| Field | Detail |
|---|---|
| Subject | Communication Style Assessment |
| Effective Date | {{effective_date}} |
| Reason / Description | |
| Supporting Documents Attached | Yes / No |
| Additional Notes |
Declaration
I confirm that the information provided in this form is true, complete, and accurate to the best of my knowledge. I understand that providing false information may result in disciplinary action.
Manager Review
| Field | Detail |
|---|---|
| Manager Comments | |
| Recommendation | Approve / Decline / Refer to HR |
| Manager Name | {{manager_name}} |
| Date | {{current_date}} |
HR Action
| Field | Detail |
|---|---|
| Action Taken | |
| Processed By | |
| Date Processed |
Acknowledgement & Signatures
By signing below, both parties confirm they have read, understood, and agreed to the terms of this document.
Purpose & Validity
This assessment is administered by {{company_name}} to gather standardized, role-relevant evidence in support of fair and consistent decision-making. The instrument has been reviewed for face validity, content coverage, and adverse-impact risk.
Administration Protocol
- Provide the candidate with the data-privacy notice and obtain explicit consent prior to administration.
- Administer the assessment in a quiet, supervised environment or via the approved online platform.
- Adhere strictly to the time limits and instructions defined in the scoring key.
- Record any reasonable accommodations granted, with the rationale, in the candidate file.
Scoring Key & Bands
| Band | Score Range | Interpretation |
|---|---|---|
| Below Threshold | 0–39 | Does not meet the minimum requirements for the role. |
| Developing | 40–59 | Partial fit; targeted development required. |
| Meets Role | 60–79 | Solid fit with the demands of the role. |
| Strong Fit | 80–94 | Significantly exceeds expectations. |
| Exceptional | 95–100 | Standout candidate; consider for stretch assignments. |
Fairness & Adverse Impact
- Scores are reviewed quarterly for adverse-impact patterns by protected group.
- Reasonable accommodations are offered where requested and documented.
- Results are used in combination with structured interviews and never as the sole decision criterion.
Candidate Information
| Field | Detail |
|---|---|
| Candidate Name | {{employee_name}} |
| Role Applied For | {{job_title}} |
| Date of Assessment | {{date}} |
| Administered By | {{manager_name}} |
| Consent Received | Yes / No |
Examiner Sign-off
Document Control
| Field | Value |
|---|---|
| Document Owner | Human Resources — {{company_name}} |
| Category | Assessment |
| Version | 1.0 |
| Effective Date | {{date}} |
| Next Review | Annually from effective date |
| Approved By | {{manager_name}} |
| Classification | Internal — Confidential |
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