2008 Lorentzen Award    REFERENCE FORM     Page 1 of 1

Applicant Name _____________________________________________
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Reference: You have been selected as a reference for an applicant to the Lorentzen Award program of the Association for Women in Science Educational Foundation, open to college sophomores or juniors studying physics or geoscience. 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 31, 2008.

1. I rate the applicant as in the top ________% of students at her level.
2. In addition to the rating 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 the future. 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 __________________________