Sample Letter Of Recommendation Form

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LETTER OF RECOMMENDATION
Idaho State University
College of Pharmacy
Nontraditional PharmD Program
TO BE COMPLETED BY APPLICANT
Applicant’s Name:______________________________________________
RELEASE OF ACCESS TO THIS LETTER OF RECOMMENDATION
Read and sign the following st atement before submitting this form to the recommender . This request is in compliance
with Federal Law P.L. 93-380 (Family Educational Rights and Privacy Act of 1974).
I hereby voluntarily waive and relinquish any right of
I retain my rights of access to this confidential letter
access to this confidential letter of evaluation.
of evaluation.
Date ______________
Signed ____________
Date ______________
Signed ______________
Each applicant to the College of Pharmacy at Idaho S
tate University is required to submit three recommendations
from individuals who are closely familiar with the applicant
. The Admissions Committee would like to receive your assessment of the applicant’s character,
personality, and achievements as a pharmacy practitioner. When completed, this form should be mailed directly to the
Admissions Committee, College of Pharmacy,
8356, Pocatello, I 83209
.
Name and title of person completing this form:
Name ________________________________________
Title ___________________________________________
In what capacity have you known this applicant? Please explain: _____________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
How long have you known this applicant?_______________
How well do you feel you know this applicant?
____________
Very well
____________ Somewhat well
___________ Not very well, casual acquaintance
Please rate the applicant in the context in which you have known him or her . Place an X under the rating column which
best describes the applicant’s character qualifications. Include additional comment s in the space provided on the back of
this form.
5
4
3
2
1
0
Above
Below
No Opportunity
Excellent Average
Average
Average
Poor
To Observe
1.
Attitude and Personality
2.
Reliability and Character
3.
Personal Appearance
4.
Work Habits and Industry
5.
Emotional Stability
6.
Capacity for Independent Thinking
7.
Judgment and Common Sense
8.
Oral Expression
9.
Written Expression
10.
Professional Achievements

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