Health Professions Scholarship Evaluation
Evaluate applicants for the Health Professions Scholarship using the structured criteria below.
Applicant Full Name
*
First Name
Last Name
Applicant Email Address
*
example@example.com
Applicant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Institution
*
Current Degree Program (e.g., Nursing, Medicine, Public Health)
*
Please Select
Medicine
Nursing
Pharmacy
Public Health
Dentistry
Other
Academic Performance (GPA or equivalent)
*
Extracurricular and Leadership Involvement (select all that apply)
Student Organizations
Community Service
Research Experience
Healthcare Volunteering
Other
Personal Statement or Essay Evaluation
*
Rows
Outstanding
Above Average
Average
Below Average
Clarity of Motivation for Health Professions
1
2
3
4
Commitment to Service
5
6
7
8
Communication Skills
9
10
11
12
Evaluator's Comments on Applicant (optional)
Reference or Recommender Name
*
Reference or Recommender Email
*
example@example.com
Overall Recommendation
*
Highly Recommend
Recommend
Recommend with Reservations
Do Not Recommend
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