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2025-2026 Vesalius Trust Faculty Advisor Form

The deadline for submission of this form is Friday, November 7, 2025 11:59pm PST. The Scholarship Committee must receive this completed advisor form on or before this date for the student’s application to be considered for an award in the spring of the following year.

If you have questions, please contact the chair(s) of the AMI Scholarship Committee:

Scott Dixon, AMI Scholarship Co-Chair
Natalie Koscal, AMI Scholarship Co-Chair
scholarship@ami.org
1.Student Name:(Required.)
2.Faculty Advisor Name: (Required.)
3.Faculty Advisor Title or Position:(Required.)
4.Faculty Advisor Email:(Required.)
5.School or Institution: (Required.)
6.What role will you have in assisting the student with their project? (2–3 sentences)(Required.)
7.Having read the project description, briefly describe the student’s ability to successfully complete the project. Give examples of requisite skills in the applicable areas of expertise (knowledge, terminology, technical skills, practice, resourcefulness) to effectively master the materials and functions required by the subject. (1–2 paragraphs)(Required.)
8.Have you thoroughly discussed the project with the student, and do you believe the project to be a viable and achievable one, considering the time available to you and the student?(Required.)
9.Do you believe the student will be able to undertake this project without it adversely impacting their other required coursework?(Required.)
10.In your estimation, is the project’s itemized budget both reasonable and accurate?(Required.)
11.Has the student completed at least one full year of study? (Required.)