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Lake County Health Department and Community Health Center - Letter of Reference

  1. LCHD_CHC Logo
  2. Letter of Reference
    Using the fields below, please rate the applicant relative to others you have known in a similar capacity. When completing the reference, if you cannot answer a question based upon your experiences when working with the candidate, please make sure to rate it NOT OBSERVED. Additional comments are welcomed, however, please provide feedback to a rating below 3.
  3. Please provide your first and last name
  4. Your position title when you worked with the applicant
  5. Company name where you worked with the applicant
  6. Please provide applicant name
  7. Summary Evaluation: Using the chart below, please rate the applicant based on your knowledge about them.
    4=Outstanding, 3=Average, 2=Fair, 1=Poor, NO=Not Observed
  8. Please provide details about your rating here
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  17. Leave This Blank: