Recommendation Form - Winship Cancer Institute of Emory University

Recommendation Form (for Teachers only)
The recommendation deadline is Tuesday, February 9, 2015. Recommendation form and letter must be postmarked
by this date or emailed to [email protected] by this date in pdf format. There are no exceptions to this deadline.
Incomplete recommendations will not be eligible for review. Letters must be on official school letterhead. Please
put students name in subject line of email. Any questions, please contact Shirley Miller at 404-778-1270.
Email subject line example: Recommendation: David Smith / Druid Hills High School
STUDENT INFORMATION
Name: __________________________________________________________________________________________________
(Last/Family)
(First)
(Middle Initial)
Attending School: _________________________________________________________________________________
The student named above is applying for acceptance to the Summer Scholars Research Program for High School
Students at Winship Cancer Institute. This program provides students with an authentic experience in a biomedical
research laboratory.
Teacher’s Name: ___________________________________________ Subject taught: ________________________________
School Name: _____________________________________ Phone Number: ________________________________________
Email: ________________________@____________________________
Instructions for Recommendation Letters
Please submit by email this form and attached recommendation letter on official school letterhead. Letter must include:
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How student interacts with community.
Examples of maturity and independent thinking
Describe work ethics, professionalism and team collaboration.
And anything additional that makes your student unique or exceptional for consideration.
Compared to other students you have taught, how would you rate this student in terms of:
Excellent (top 5%)
Very Good
Average
Below Average
No Basis
Creative Thinking
Motivation
Oral Expression
Intellectual Ability
Intellectual Curiosity
Written Expression of Ideas
Effective Class Discussion
Character and Integrity
Reaction to Set-backs
Academic Achievement
Signature: _______________________________________________
Date: ________________________
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