Pharmacy Residency Online Recommendation Form

Welcome! We very much appreciate your willingness to provide your confidential assessment of this applicant's qualifications.

Please evaluate the applicant's qualifications by checking the appropriate spaces below.























































Please attach your Letter of Reference in one of three formats:

  • .doc (Microsoft Word)
  • .rtf (Rich Text Format)
  • .txt (Text file)
  • After attaching your file through the browser, the file name will not appear when you leave this page; however, the file will remain attached.

Select a file on your computer (Max size 4 MB)