Teacher Evaluation Form
To the evaluator: The proper selection of students to this Research Internship Program is of significance not only to the Selection Committee, but to the American Chemical Society and the Burroughs-Wellcome Fund. In order to be fair to all applicants we need as much information as possible. It is our experience that the evaluation which is most helpful to the Selection Committee is one which includes statements concerning the student's possible deficiencies as well as strengths. This form is due by February 15, 2004.
You may submit this form electronically. You must include your email address and telephone number so that we can confirm your submission of this evaluation. If you have questions or concerns send e-mail to: firstname.lastname@example.org
go to the online Student Application Form
Please rank this student in the appropriate sector with the characteristics below. Use the following ranking system: