Educational Foundation

AWIS EDUCATIONAL FOUNDATION

2008 College Scholarships    REFERENCE FORM TWO     Page 1 of 1
                                               Science Teacher or Research Adviser

Applicant Name _____________________________________________
                                last                             first                  middle

Reference: You have been selected as a reference for an applicant to the College Scholarship program of the Association for Women in Science Educational Foundation, open to high school seniors for a $1,000 award. Please complete this form and provide a signed reference letter. Then make five double-sided copies of the form and letter with the letter copied onto the back of the form. Enclose the five copies in one signed, sealed envelope that the applicant may submit with her forms. The deadline for receipt by AWIS of the complete application is January 17, 2008.

1. Rate the applicant on the items below, using the numerical scale (1 to 5) defined below. Base your ratings on the level of accomplishment you expect from high school seniors.
      1=outstanding; 2=above average; 3=average; 4=below average; 5=poor;
      X=insufficient knowledge to rate

Rating    Rating  
 Analytic ability    Perseverance
 Accuracy    Proficiency in lab or field work
 Independence   Scientific knowledge
 Ability to exchange ideas   Overall potential as a scientist

2. In addition to the ratings above, provide a letter in which you describe how long you have known the applicant (and in what role) and comment on her ability and promise for a career as a scientist in research or teaching. If you wish, you may also comment on special personal attributes, such as leadership, overcoming barriers, mentoring younger students, and initiative in seeking a broad range of educational and other experiences. Sign the letter as well as the form, and copy as noted above.

Signature _____________________________________ Date _______________

Typed name _______________________________________________________

Title or position __________________________________________________

Department and institution _________________________________________

City and State ___________________________________________________

Telephone ______________________ Email __________________________