Confidential Reference Letter Template Page 3
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4From the domains listed in Table 1 above, please select two which you rated the applicant highly, and give a
specific example of the applicant demonstrating that domain and why you consider important to the
applicant’s success in the PharmD for Pharmacists.
1. The applicant demonstrated ____________________________ in the following
situation:
(DOMAIN)
2. The applicant demonstrated ____________________________ in the following
situation:
(DOMAIN)
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