Rosetta Institute's Molecular Medicine Youth Workshop Recommendation Form
This student is applying to attend one of the Rosetta Institute's Molecular Medicine youth workshops during the summer of 2020. As someone who knows him/her well, we value your assessment of his/her suitability as a participant in this program.

Students accepted to the two-week Institute session are:
• Ages 14-18
• in good academic standing;
• interested in pursuing education leading to a health career.

Thank you in advance for your time.
Applicants name *
(To avoid confusion, please let us know if this student goes by an alternate first name)
Your answer
Your name: *
Your answer
Your email address (official, identifiable email address required): *
(You will receive an email confirmation)
Your answer
Phone number: *
Your answer
Mailing address: *
Your answer
Occupation and relationship to student: *
Your answer
How long have you known the applicant? *
Your answer
In comparison with other students you have known, how would you evaluate this applicant's level of curiosity? *
(asks probing questions, seeks out additional information)
In comparison with other students you have known, how would you evaluate this applicant's level of motivation? *
(self-starter)
In comparison with other students you have known, how would you evaluate this applicant's level of maturity? *
(stable, responsible, handles situations well, respectful of instructors)
In comparison with other students you have known, how would you evaluate this applicant's level of intelligence? *
(problem solving, memory, ability to learn)
In comparison with other students you have known, how would you evaluate this applicant's interpersonal skills? *
(leadership, inclusiveness, avoids conflict, etc)
In comparison with other students you have known, how would you evaluate this applicant's communications skills? *
(verbal, written)
Student’s strengths as you see them:
Your answer
Student’s weaknesses as you see them:
Your answer
Other comments:
Your answer
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