BIOMEDICAL SCIENCES TRAINING PROGRAM
CASE WESTERN RESERVE UNIVERSITY
SCHOOL OF GRADUATE STUDIES

To the applicant:  Use this form for the letters of recommendation. Make three copies of this form and fill out the top portions. Give them to your references and ask them to send the completed forms directly to Biomedical Sciences Training Program at the address at the bottom of the form.

RECOMMENDATION


THIS SECTION IS TO BE COMPLETED BY THE APPLICANT
The Family Educational Rights and Privacy Act of 1974 and its amendments guarantee students access to their educational records. Students may, however, waive their right to access to recommendations. The choice of the applicant regarding this recommendation is to be indicated below. Failure to sign will constitute acceptance of limited access.

____I do waive ____I do not waive my right to inspect the contents of the following recommendation.

Signed___________________________________________Date________________

Statement concerning_________________________________________________
                                            (First Middle Last or Family Name)

who is applying for admission to the graduate program in________________________________________________________

at the Master's level_____ Doctoral level______


THIS SECTION IS TO BE COMPLETED BY THE REFERENCE RESPONDENT
(NOTE: Confidentiality of letters of recommendation cannot be guaranteed unless applicant waives right of access above.)

How long and in what capacity have you known the applicant?

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Please indicate the applicant's ability and professional competence in each of the following categories. Please compare the applicant with other individuals whom you have known at similar stages in their careers. Please rate individuals on the following scale:

1 Excellent (Top 1%)                      5 Average (Upper 50%)
2 Outstanding (Upper 10%)                 6 Below Average (Bottom 25%)
3 Very Good (Upper 15%)                   7 Inadequate Opportunity to Observe
4 Above Average (Upper 25%)
 
Categories Rating Categories Rating
General knowledge   Motivation and enthusiasm for graduate study  
Knowledge in chosen field   Desire to pursue a career in the biomedical sciences  
Self-reliance   Potential for biomedical research  
Critical thinking ability   Emotional stability and maturity  
Curiosity   Communication skills (in English), oral and written  
Originality   Effectiveness with other individuals  

Please indicate your overall endorsement of the applicant:

___Recommend highly ___Recommend ___Recommend with reservation

In addition to the answers provided above, the Dean of Graduate Studies would appreciate a statement from you appraising the applicant's promise of success as a graduate student. If you wish, a separate letter may be used.

Name_________________________________Position/Title_____________________

Address______________________________________________________________
                (Department and Institution)

Date_______________Signature_________________________________________

Please return this form to:

Biomedical Sciences Training Program
School of Medicine, Room TG 1
Case Western Reserve University
10900 Euclid Avenue
Cleveland, OH 44106-4934
USA