I was just wondering if it was hard to get recommended from a committee letter for dental school. My school offers it in 5 tiers of Highly Recommended, Recommended with Confidence, Recommended, Recommended with Reservation, and lastly Not Recommended. My question would be that is it really easy to get something like "Highly Recommended" from the pre-health board or do they simply only give it to the cream of the crop? Like would a school view those students that got highly recommended differently than those who just got recommended?