DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION GUIDELINES
The following are guidelines of what to consider in evaluating each Fellow candidate.
The Application Evaluation Forms for each applicant on the following pages are for your use
only; you do not need to return these forms. After making your evaluations, please use the online
form at http://www.surveygizmo.com/s3/1851249/9192382585b9 to enter the rankings for each
candidate. Guidelines/evaluation criteria are listed below.
Submit your rankings using the online form no later than COB Wednesday, December 3.
Criteria
Demonstrated Leadership Skills
o Extent to which the candidate held leadership positions in volunteer or professional roles
o Extent to which the reference letters speak to leadership competence
Depth & Breadth of Community Involvement
o Extent to which the candidate volunteered in their community, both on and off campus. This
is primarily evident in the synopsis of extracurricular activities
Quality of Personal Statement
o Based on the candidate’s personal statement, does this candidate appear to have the depth of
knowledge, ability to write and express themself, and level of maturity necessary to be a selfstarter and take full advantage of the Fellowship opportunity?
Evidence of Interest in Health Policy
o Extent to which the candidate’s letter and letters of reference demonstrate the candidate’s
interest in Health Policy
o Extent to which his/her CV shows previous work or activity in the policy arena
o Extent to which his/her academic work evidences an Interest in Health Policy
o Relevance of Fellowship to career plans
Academic Achievement
o Level of achievement, taking into account both grades and perceived quality/rigor of the
academic institution
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Maria Abrica-Gomez
George Washington University
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Maya Espada
University of North Carolina at Chapel Hill
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Alixandra Hallen
Saint Louis University
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Clint Hugie
University of Iowa
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Adrianna McIntyre
University of Michigan
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Cooper McLendon
Texas A&M Health Science Center
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Lydia Orth
George Washington University
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Eden Rolland
University of Colorado Boulder
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
Ryan Stringer
University of Pittsburgh
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
DAVID A. WINSTON FELLOWSHIP
2015-16 APPLICATION EVALUATION FORM
Applicant’s Name:
July Tran
Columbia University
Reviewer Ratings:
Rate 1 (lowest) to 7 (highest) on each item.
Required Criteria
Please place an X in the appropriate box
LOWEST
Criteria
1
2
--------------HIGHEST
3
4
5
6
Demonstrated Leadership Skills
Depth & Breadth of Community Involvement
Quality of Personal Statement
Evidence of Interest in Health Policy
Academic Achievement
Total Score
OVERAL RANK ORDER: ___________________ (1=First Choice, 10=Last Choice)
7
Thank you for evaluating the 10 semi-finalists competing for the 2015-2016
David A. Winston Health Policy Fellowship. After you have determined each
candidate’s rank order (from 1 – 10) using your worksheets, please enter your
rankings for each candidate using the online ranking form:
http://www.surveygizmo.com/s3/1851249/9192382585b9
For questions, comments or assistance, please contact Anthony Gary,
Manager of the 2015 Winston Health Policy Fellowship (Applications), at
[email protected].