Confidential Reference Letter Template
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4Confidential Reference Letter
PHARMD FOR PHARMACISTS PROGRAM
UNIVERSITY OF TORONTO
PROFESSIONAL REFERENCE
APPLICANT NAME: _____________________________________________________________
ASSESSOR INFORMATION
Assessor Name: ________________________________________________________________
Work Address: _________________________________________________________________
Company/ Institution Name: ______________________________________________________
Title/ Role: ____________________________ Direct Telephone Number: ________________
Email Address: _________________________________________________________________
Please check which of the following best describes your relationship(s) with the applicant:
□ Professor/ teacher (Pharmacy degree)
□ Pharmacy Leadership (Director, Clinical
□ Professor/ teacher (Other degree)
lead)
□ Preceptor
□ Pharmacist colleague
□ Supervisor (Research degree)
□ Health Care Professional colleague
□ Faculty Advisor
□ Pharmacy Technician colleague
□ University Leadership (Dean, Director)
□ Other co-worker/ colleague
□ Mentor
□ Employer
□ Other
□ Direct supervisor
Please specify:_____________________
Length of relationship with the applicant: I have known the applicant for
years.
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