Samantha Lawson 1-8-19

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* 1. Your Name

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* 2. Please select from the following:

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* 3. This evaluation reflects your observations and opinions of the candidate. Please rate the following:

Excellent-5 Good-4 Adequate-3 Poor-2 Unacceptable-1 Unable to Rank
PROFESSIONALISM (appropriate dress, interaction with interviewer and staff, humility, interpersonal communication skills, leadership in school)
COMMUNICATION AND INTERPERSONAL SKILLS (communicates well, inspires confidence, empathy, compassion, appropriate sense of humor, tactful)
CANDIDATE KNOWLEDGE BASE (shows insight with difficult interview questions, looks beyond superficial explanations, asks good questions)
JUDGMENT (ability to admit "I don't know", intellectual curiosity, self-awareness and reflection, ability to ask for help, tolerance of uncertainty, recognizes own limitations, knows difference between ideal and practical, optional and mandatory)
PERSONAL INTEGRITY (open about short-comings, appears to be truthful, describe personal weaknesses, shows evidence of ethical behavior)
MOTIVATION & INITIATIVE (self-starter, shows initiative, independent involvement in projects, research, social organizations)
TRANSCRIPT, LORs, DEAN'S LTR
FIT WITH PROGRAM
HOW WELL CAN I WORK WITH THIS PERSON
COMMITMENT TO FAMILY MEDICINE

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* 4. How would you rank this candidate?

  Upper 1/2 Lower 1/2
Rank
Fit
Interest (applicant's interest in our program)

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* 5. Other Comments REQUIRED: (Keep comments objective)

T