CVS Health Diversity Scholarship - Reviewer Form

Use this form to evaluate applications to the CVS Health Diversity Scholarship Program.

Applicant's FIRST Name

Applicant's LAST Name

Reviewer's FIRST Name

Reviewer's LAST Name

Reviewer's Email

Resume - Total of 25 Points Possible

Academic Engagement and Leadership (10 points)

1 Pt: No participation in any academic-related activities or clubs
2 Pts: Short-term participation in one academic-related organization
3 Pts: Short-term participation in multiple academic-related organizations
4 Pts: Long-term participation in one academic-related organizations and short-term in one or more
5 Pts: Long-term participation in multiple academic-related organizations

	1	2	3	4	5
See above	1	2	3	4	5

1 Pt: No leadership roles in an academic organization
2 Pts: Leadership role(s) an academic organization, but with no descriptions included
3 Pts: One leadership role in an academic organization
4 Pts: Multiple leadership roles in one academic organization
5 Pts: Multiple leadership roles in multiple academic organizations

	1	2	3	4	5
See above	1	2	3	4	5

Extracurricular Commitment and Leadership (10 points)

Extracurricular activities may include non-academic clubs, work, volunteering, research, sports, etc.

1 Pt: No participation in any extracurriculuar activities
2 Pts: Short-term participation in one extracurricular activity
3 Pts: Short-term participation in multiple extracurricular activities
4 Pts: Long-term participation in one extracurricular activity and short-term in one or more
5 Pts: Long-term participation in multiple extracurricular activities

	1	2	3	4	5
See above	1	2	3	4	5

1 Pt: No leadership roles in an extracurricular organization
2 Pts: Leadership role(s) an extracurricularorganization, but with no descriptions included
3 Pts: One leadership role in an extracurricularorganization
4 Pts: Multiple leadership roles in one extracurricularorganization
5 Pts: Multiple leadership roles in multiple extracurricular organizations

	1	2	3	4	5
See above	1	2	3	4	5

Resume Format (5 Points)

1 Pt: Document is not in a resume format and/or has numerous spelling or grammatical errors, poor formatting, poor organization with no headers or sections
2 Pts: Exceeds 2 pages or is under a 1/2 page, multiple spelling or grammatical errors, inadequate formatting, inconsistent organization with no headers or sections
3 Pts: At least 1 page and no more than 2, some spelling or grammatical errors, adequate formatting, somewhat organized with some headers and sections.
4 Pts: At least 1 page and no more than 2, no spelling or grammatical errors, good formatting, consistently organized with headings and sections.
5 Pts: At least 1 page and no more than 2, no spelling or grammatical errors, excellent formatting, well-organized with clear headings and sections.

	1	2	3	4	5
See above	1	2	3	4	5

Scholarship Essay - Total of 35 Points Possible

Essay Prompt: Describe how your life experiences as a minority student influenced in your decision to pursue a pharmacy career. Select one aspect of your background or one characteristic about yourself, and describe how it will contribute to your success in pharmacy and the well-being of future patients. Limit essay to 750 word count.

Essay Content - 30 Points

Indicate your level of agreement with the following:
1-Strongly Disagree, 2-Disagree, 3-Somewhat Agree, 4-Agree, 5-Strongly Agree

	1	2	3	4	5
Student clearly describes how a life experience as a minority student influenced his/her decision to pursue a pharmacy career in a meaningful and compelling way.	1	2	3	4	5
Student clearly describes how aspect/characteristic will significantly contribute to his/her success in pharmacy education in a meaningful and compelling way.	1	2	3	4	5
Student clearly describes how aspect/characteristic will significantly contribute to his/her success in pharmacy profession in a meaningful and compelling way	1	2	3	4	5
Student clearly describes how they plan to assist future patients in a meaningful and compelling way.	1	2	3	4	5
Student demonstrates an understanding of the role of pharmacists in health care or patient care.	1	2	3	4	5
Students goals are aligned with the goals of the program.	1	2	3	4	5

Spelling and Grammar - 5 Points

1 Pt: Egregious errors in grammar or spelling that make essay unreadable
2 Pts: Numerous errors in grammar or spelling that both distract and interfere with understanding
3 Pts: Several errors in grammar or spelling that distract, but do not interfere with understanding
4 Pts: A few errors in grammar or spelling that neither distract nor interfere with understanding
5 Pts: No errors in grammar or spelling

	1	2	3	4	5
Student uses proper spelling and grammar	1	2	3	4	5

Faculty Letter of Support (20 Points Possible)

Evidence of Student's Attributes - 10 Points

How well does the faculty member describe the applicant's attributes as they relate to a potential for a successful career in pharmacy school or the profession?

0 Pts: No familiarity with applicant's work and goals, no positive or relevant evidence is provided.
1-2 Pts: Low or unaddressed familiarity with applicant's work and goals, no examples or weak/insufficient insight into applicant's attributes, poor or negative evidence is provided.
3-4 Pts: Some familiarity with applicant's work and goals, few/vague/unrelated examples and some insight into applicant's attributes, evidence is lacking or not directly applicable.
5-6 Pts: Good familiarity with applicant's work and goals, general and appropriate examples and insight into applicant's attributes, good or adequate evidence is provided.
7-8 Pts: Strong familiarity with applicant's work and goals, at least one detailed example that demonstrates applicant's attributes, excellent evidence that makes the letter compelling and impactful.
9-10 Pts: Extremely high familiarity with applicant's work and goals, multiple detailed examples that clearly demonstrate the applicant's attributes, overwhelming evidence that makes the letter extremely compelling and deeply impactful.

	0	1	2	3	4	5	6	7	8	9	10
See above	0	1	2	3	4	5	6	7	8	9	10

Potential for Success in Pharmacy - 10 Points

What is the applicant's potential for success in pharmacy school or the profession based on the faculty letter?

0 Pts: POOR (far below average) Negative attributes, no potential for success in a pharmacy career, substantive concerns.
1-2 Pts: FAIR (below average) Mixed attributes, uncertainty about applicant's potential for success in a pharmacy career, some negative comments.
3-4 Pts: GOOD (average) Adequate or average attributes, sufficient potential for success in a pharmacy career, only minor concerns.
5-6 Pts: VERY GOOD (above average) Above average attributes, consistent praise for potential success in a pharmacy career, no negative comments.
7-8 Pts: EXCELLENT (among the best) Excellent attributes, very strong praise for potential success in a pharmacy career, multiple positive comments, no negative comments.
9-10 Pts: EXCEPTIONAL (very best) Superior attributes, highest praise for potential success in a pharmacy career compared to other students, numerous glowing comments, no negative comments.

	0	1	2	3	4	5	6	7	8	9	10
See above	0	1	2	3	4	5	6	7	8	9	10

Pharmacist Letter of Support (20 Points Possible)

Evidence of Student's Attributes - 10 Points

How well does the pharmacist describe the applicant's attributes as they relate to a potential for a successful career in pharmacy school or the profession?

0 Pts: No familiarity with applicant's work and goals, no positive or relevant evidence is provided.
1-2 Pts: Low or unaddressed familiarity with applicant's work and goals, no examples or weak/insufficient insight into applicant's attributes, poor or negative evidence is provided.
3-4 Pts: Some familiarity with applicant's work and goals, few/vague/unrelated examples and some insight into applicant's attributes, evidence is lacking or not directly applicable.
5-6 Pts: Good familiarity with applicant's work and goals, general and appropriate examples and insight into applicant's attributes, good or adequate evidence is provided.
7-8 Pts: Strong familiarity with applicant's work and goals, at least one detailed example that demonstrates applicant's attributes, excellent evidence that makes the letter compelling and impactful.
9-10 Pts: Extremely high familiarity with applicant's work and goals, multiple detailed examples that clearly demonstrate the applicant's attributes, overwhelming evidence that makes the letter extremely compelling and deeply impactful.

	0	1	2	3	4	5	6	7	8	9	10
See above	0	1	2	3	4	5	6	7	8	9	10

Potential for Success in Pharmacy - 10 Points

What is the applicant's potential for success in pharmacy school or the profession based on the pharmacist's letter?

0 Pts: POOR (far below average) Negative attributes, no potential for success in a pharmacy career, substantive concerns.
1-2 Pts: FAIR (below average) Mixed attributes, uncertainty about applicant's potential for success in a pharmacy career, some negative comments.
3-4 Pts: GOOD (average) Adequate or average attributes, sufficient potential for success in a pharmacy career, only minor concerns.
5-6 Pts: VERY GOOD (above average) Above average attributes, consistent praise for potential success in a pharmacy career, no negative comments.
7-8 Pts: EXCELLENT (among the best) Excellent attributes, very strong praise for potential success in a pharmacy career, multiple positive comments, no negative comments.
9-10 Pts: EXCEPTIONAL (very best) Superior attributes, highest praise for potential success in a pharmacy career compared to other students, numerous glowing comments, no negative comments.

	0	1	2	3	4	5	6	7	8	9	10
See above	0	1	2	3	4	5	6	7	8	9	10

Additional Reviewer Comments

Please provide any additional reflections about the applicant or letters (optional).

Please provide any feedback on this form or the review process.