Student Research Grant Reference Form

Please complete the reference form, below, on behalf of the student for whom you have agreed to serve as a reference. Thank you so much for the time and energy you took to provide the selection committee with your feedback.

Your Name

Student Name

Awards Applied for

Are you the applicant's project supervisor?(Required)

Yes

Other

To your knowledge, is this project the student's SIP?(Required)

Yes

I don’t know

How long have you known the applicant?(Required)

In what capacity have you known the applicant?(Required)

How familiar are you with the applicant's proposed project?(Required)

Very Familiar

Somewhat Familiar

Not at all Familiar

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Reference Letter

Accepted file types: pdf, Max. file size: 5 MB.

Please rate the applicant(Required)

	Poor	Fair	Good	Very Good	Excellent	No Opportunity to Observe
Academic Ability
Ability to Work Independently
Contribution to Class or Group
Self discipline and patience
Ability to respond to setbacks
Time management & organization

What strengths does the applicant have that will serve them in successfully conducting the proposed project?(Required)

Please share any particular concerns about the applicant's ability to successfully conduct the proposed project.(Required)

What is your recommendation for this applicant for conducting the proposed project?(Required)

Do Not Recommend

Recommend with Reservation

Recommend without Reservation

Highest Recommendation

Additional Comments

Select YES if you have information of which the committee should be aware which is not already reflect within your recommendation.

Yes