Confidential Reference Letter Template Page 2

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Based on your knowledge of the applicant, please rate them on the following areas, in relation to
other pharmacists. Please indicate using an X in the applicable box.
Table 1 – Evaluation of Applicant
Outstanding
Excellent
Good
Average
Below
Unable
Average
to rate
Top 2%
Top 10%
Top 25%
Middle
Bottom
DOMAINS
50%
25%
Academic potential
Problem-solving
skills
Interpersonal skills
(Ability to work
with others & in
group/team)
Empathy for
patients/ others
Self-directed/
independent work
Verbal
communication
Written
communication
Professionalism
(reliability,
punctuality)
Responsibility to
work/ role
Accepts feedback
OVERALL EVALUATION
Based on your primary relationship with the applicant, where would you rank this applicant in
relation to other pharmacists? Please indicate with an X.
Outstanding
Excellent
Good
Average
Below Average
Top 2%
Top 10%
Top 25%
Middle 50%
Bottom 25%
2

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00 votes

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