Letter of Recommendation for Pharmacy Practice Residency

Please submit this evaluation form and formal letter of recommendation no later than January 10, 2011.

Reminder – Please also ask your recommenders to mail a signed hard copy of the formal letter of recommendation to:

Deepak Sisodiya, PharmD, BCPS
Manager-Professional Development
Residency Program Director
300 Pasteur Dr, Room H0301 | Stanford, CA 94305
ph: 650.721.1431 | fax: 650.725.5028 | email: dsisodiya@stanfordmed.org

  1. * = Required input.
Rank the Candidate Please rank the candidate on the following characteristics in comparison to others with the same level of experience and training. Please include this form along with a letter of recommendation addressing the applicant's strengths, weaknesses, and any additional information which you feel may be helpful in our selection process.
Unable to Rank Unsatisfactory Satisfactory Exceptional
Oral communication skills:
Written communication skills:
Ability to work with others:
Dependability:
Distribution skills:
Quality of work:
Teaching skills:
Clinical skills:
Assertiveness:
Leadership skills:
Initiative and motivation:
Recommendation (check one)
Additional Comments

   

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