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  • Interview Date*
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  • Please indicate which of the following are true for you (check all that apply):

  • Candidate Strengths

  • Candidate Weaknesses/Areas for Improvement

  • Candidate's possible contributions to Temple Health

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  • Do You Recommend to Pursue the Candidate Further?
  • Please click the "Submit" button below to send your evaluation to the Department of Physician/Faculty Recruitment & Retention.

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