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On-line Letter of Recommendation Form For Student Participants
     
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Student's Last Name:
  
 
Student's First Name:
 
Student's School:
 
Your relationship to the student:
 
If 'other' selected, please specify:
     
 

Evaluation of student (5=Outstanding, 3 = Average, 1=Poor):
 
Chemical knowledge for college level study:
 
Maturity:
 
Laboratory skills:
 
Work habits:
 
Creativity:
 
Ability to follow directions:
 
Ability to work with others:
 
Overall ability to perform research:
 
Scientific curiosity:
 
Other comments:
  
 

   
 

Recommender Information:
 
Your title:
 
Your full name:
 
Your full mailing address:
 
Your phone number (incl. area code):
 
Your e-mail address:
 

Please re-enter your e-mail
above address to confirm:
 
 
  Thank you!