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interview-evaluation-form

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Hematology/Oncology Fellowship
Interview Evaluation Form
Thank you for participating in the Hematology/Oncology Fellowship interview process. Please complete
this form to the best of your ability after meeting with each applicant. Please note that your written
comments assessing the overall strengths and weaknesses of the candidate are an important part of the
review process as it provides us with your insights into these individuals.
Sample Interview Questions

Describe your background and how you ended up in Hematology/Oncology.

What particular features are you looking for in a training program?

Describe your career goals.

What special qualities will you bring to the training program?

What interests you about doing your fellowship in Colorado?

Are there any questions I can answer for you regarding our program and/or living in Colorado?
Your Name
Applicant Name
Medical School
Residency Program
USMLE Step 1 Score
USMLE Step 2 Score
USMLE Step 3 Score
Letter(s) of Recommendation
Outstanding
Excellent
Very Good
Solid
Other
Research Experience: Evidence of commitment project ownership and intellectual engagement
Outstanding
Excellent
Very Good
Reservations
Unacceptable
Other
Career Goals
Academic
Community
Rural
Other
Honors/Awards (Preclinical, Clinical, Other)
Overall Impression of Candidate (Strengths, Weaknesses, Concerns, etc.)
Recommended Rank (1 being the best)
1 – High
1 – Mid
1 – Low
2 – High
2 – Mid
2 – Low
3 – High
3 – Mid
3 – Low
Do Not Rank
Return form to Brianne.N2.Johnson@cuanschutz.edu
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