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Mentor Support Form for Travel Application
Information is available in the SOURCE office (
source@case.edu
) regarding whether or not the student waived his/her right to view this support form. Please contact SOURCE for that information.
* Indicates required question
Email
*
Record my email address with my response
Your Last Name
*
Your answer
Your First Name
*
Your answer
Your Academic Department
*
Your answer
Student's First and Last Name
*
Your answer
In fewer than 150 words, what capacity do you know the applicant?
*
Your answer
The student's travel request is valid
*
Strongly Disagree
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2
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5
Strongly Agree
You are well aware of the project, which this student is presenting
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Strongly Disagree
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5
Strongly Agree
The travel will contribute to the student's educational experience
*
Strongly Disagree
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4
5
Strongly Agree
Funding is limited, please identify your level of support that SOURCE provide travel funding to this student.
*
Do NOT Support
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Strongly Support
Send me a copy of my responses.
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