Dr Rubin's Mini Medical School Teacher Recommendation Form
If you are a teacher and wish to recommend a student you may use this online form. Please fill out all required fields (marked with a red *). The form will only submit once all required fields are completed. Once submitted a pop up message will confirm that the information is accepted. Our student application deadline is October 31 but we will accept online recommendations until November 7th. We will only accept a recommendation from an official school email address. *** This form is not for parents or students.
Student Name *
What is the name of the student you are recommending?
Your answer
Please provide either an email or phone number of the student. *
The student email or phone number allows us to link your recommendation to the student's application.
Your answer
How long have you known this student? *
Your answer
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