Student Healthcare Leaders (SHL) Fall 2019 Recommendation

Student Healthcare Leaders (SHL) Fall 2019 Recommendation
The student who sent you this link is applying for the Student Healthcare Leaders (SHL) program. The selection committee will use this form to help evaluate and select candidates who have a serious desire to participate in health career exploration while not affecting their school work. Please complete this form to the best of your ability. Thank you in advance.
Student Name*
First NameLast Name
Counselor/Teacher Completing Form*
First NameLast Name
Title*
School*
Email*
example@example.com
Please provide your rating of the student using the scale below. Please leave a comment for any response with a poor rating. Use N/A if not able to evaluate.