FACULTY EVALUATION FORM Please return as soon as possible ...

http://rise.rutgers.edu/

FACULTY EVALUATION FORM
Please return as soon as possible, but no later than MARCH 15, 2002

(If received from applicant after March 15, please return within one week).

PART I: TO BE COMPLETED BY APPLICANT

Applicant’s Name:______________________________________________________________________________

First Middle Last

Under the Family Educational Rights and Privacy Act of 1974, a student participating in the RISE at Rutgers Summer Program
has access to his or her program file. RISE wishes to comply with this law, while still allowing the student to waive the right
to access. If you wish to waive the right to examine this evaluation at a later date, please sign here.

Applicant’s Signature:_________________________________________________________________

PART II: TO BE COMPLETED BY EVALUATOR

An applicant to RISE must submit evaluations from two faculty members who are capable of judging his or her academic and
professional promise.

Please return this evaluation in a sealed envelope, with your signature written across the seal, in time for the applicant to
meet a priority deadline of March 1, 2002.
You may e-mail your comments to [email protected]. Please follow up with a signed copy of this form:

Office of Special Academic Programs

UMDNJ-Robert Wood Johnson Medical School

675 Hoes Lane

Piscataway, New Jersey 08854-5635
Att: Program Manager - RISE at Rutgers/UMDNJ

Evaluator’s Name ________ Title ______________________________

Address _______________________________________________________________________________________

College/University, Office and Street Address

______________________________________________________________________________________________

City State Zip

Telephone __________________________ Email _________________________________________________

In what capacity do you know the applicant? .

How long have you known the applicant? .

How does the applicant compare with her or his peer group in academic ability?

___ Truly ___ Outstanding ___ Well above ___Above ___Average ___Below ___Inadequate
average average average opportunity
exceptional to observe

OVER

1

EVALUATION OF THE APPLICANT

Please tell us the following: What particularly qualifies this student to participate in RISE? Information about
accomplishments in research or independent projects will be particularly helpful. Comments that speak to the characteristics
the student displays related to her or his academic/personal goals and activities, are especially valuable.

Submission: If you choose to put your comments on letterhead, please fill out the front of this evaluation, attach it to the
letterhead, and sign both the letter and this evaluation sheet.
Alternatively, you may e-mail your comments to [email protected]. Please follow up with a signed copy of this form.)

Evaluator’s Signature: Date:______________
2

http://rise.rutgers.edu/

FACULTY EVALUATION FORM
Please return as soon as possible, but no later than MARCH 15, 2002

(If received from applicant after March 15, please return within one week).

PART I: TO BE COMPLETED BY APPLICANT

Applicant’s Name:______________________________________________________________________________

First Middle Last

Under the Family Educational Rights and Privacy Act of 1974, a student participating in the RISE at Rutgers Summer Program
has access to his or her program file. RISE wishes to comply with this law, while still allowing the student to waive the right
to access. If you wish to waive the right to examine this evaluation at a later date, please sign here.

Applicant’s Signature:_________________________________________________________________

PART II: TO BE COMPLETED BY EVALUATOR

An applicant to RISE must submit evaluations from two faculty members who are capable of judging his or her academic and
professional promise.

Please return this evaluation in a sealed envelope, with your signature written across the seal, in time for the applicant to
meet a priority deadline of March 15, 2002.
You may e-mail your comments to [email protected]. Please follow up with a signed copy of this form:

Office of Special Academic Programs

UMDNJ-Robert Wood Johnson Medical School

675 Hoes Lane

Piscataway, New Jersey 08854-5635
Att: Program Manager - RISE at Rutgers/UMDNJ

Evaluator’s Name ________ Title ______________________________

Address _______________________________________________________________________________________

College/University, Office and Street Address

______________________________________________________________________________________________

City State Zip

Telephone __________________________ Email _________________________________________________

In what capacity do you know the applicant? .

How long have you known the applicant? .

How does the applicant compare with her or his peer group in academic ability?

___ Truly ___ Outstanding ___ Well above ___Above ___Average ___Below ___Inadequate
average average average opportunity
exceptional to observe

OVER

3

EVALUATION OF THE APPLICANT

Please tell us the following: What particularly qualifies this student to participate in RISE? Information about
accomplishments in research or independent projects will be particularly helpful. Comments that speak to the characteristics
the student displays related to her or his academic/personal goals and activities, are especially valuable.

Submission: If you choose to put your comments on letterhead, please fill out the front of this evaluation, attach it to the
letterhead, and sign both the letter and this evaluation sheet.
Alternatively, you may e-mail your comments to [email protected]. Please follow up with a signed copy of this form.)

Evaluator’s Signature: Date:______________
4