This form is to be completed by the applicant's reference. Please fill out the brief questionnaire and attach a letter of recommendation describing your relationship to the applicant and why you feel the applicant would be a good fit for our fellowship program.

For more information about this fellowship, see here.

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* 1. Your Name

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* 2. Your Email

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* 3. Applicant Name

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* 4. Please describe your relationship to the applicant.

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* 5. Please rate applicant on the following items:

  Poor Adequate Good Excellent N/A
Interpersonal communication
Time management
Reading scientific literature
Writing / communicating to a lay audience
Prioritizing competing responsibilities

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* 6. If you would like to explain any of your ratings in more detail, you can do so here or within your letter of recommendation.

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* 7. Please upload your letter of recommendation here.

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