Educational Foundation

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2008 Predoctoral Award    REFERENCE FORM TWO     Page 1 of 1
                                               Professor or Research Adviser

Applicant Name _____________________________________________
                                last                             first                  middle

Reference: You have been selected as a reference for an applicant to the Predoctoral Award program of the Association for Women in Science Educational Foundation. Please complete this form and prepare a signed reference letter. Then make five double-sided copies of the form and the 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 24, 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 graduate students at her level.
      1=outstanding; 2=above average; 3=average; 4=below average; 5=poor;
      X=insufficient knowledge to rate

Rating    Rating  
 Originality    Perseverance 
 Accuracy    Independence and initiative
 Proficiency in lab,
clinical, or field work
  Analytic ability
 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. 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 __________________________