Preparing for Medical School - Page 57
___________UNIVERSITY
_______________________
_______________________
CONFIDENTIAL REPORT ON CANDIDATE FOR ADMISSION
TO PROFESSIONAL SCHOOL
Date _______________
The following evaluation is submitted for your
guidance by the Health Sciences Advisory Office of
_______________
(the college of arts and sciences for men of
_______________ University). This evaluation is based on a careful
study
of written evaluations by, and consultation
with, those members of the faculty who have had personal knowledge
of the
candidate and his work in both lecture and
laboratory courses.
NAME OF CANDIDATE
___________________________________________________ I.D.
No.________________
This student has completed ______ years of
college. His cumulative average to date is ______ (A =
4).
Candidate for School of ( )
Medicine
( ) Dentistry
( ) Podiatry
( ) Optometry
( ) Other __________________
OUTSTANDING
VERY GOOD
GOOD
AVERAGE
POOR
PERSONAL ATTRIBUTES
1. Appearance and Social Manner
2. Maturity and Emotional
Stability
3. Communication Skills
4. Interpersonal Relations
5. Cooperation and Reliability
6. Self-Confidence
ACADEMIC ATTRIBUTES
7. Industry and Perseverance
8. Originality and Resourcefulness
9. Laboratory Skills
10. Native Intelligence and
Judgment
11. Scientific Aptitude
Summary evaluation of the
applicant's
fitness for professional study and
practice.*
*Determined by averaging the student's ratings
of items 7 through 11 together with his cumulative academic
average,
according to a mathematical formula under which
4.0 is the highest possible rating. Students whose combined
index
falls between:
3.7 and 4.0 are rated
"outstanding"
3.4 and 3.6 are rated "very good"
2.9 and 3.3 are rated "good"
2.3 and 2.8 are rated "average"
2.0 and 2.2 are rated "poor"
_______________________________
Health Sciences Advisor
REMARKS______________________________________________________________________________________
______________________________________________________________________________
NOTE: The above student has waived his right to
inspect and review this recommendation under the Family
Education
Rights and Privacy Act of 1974. Therefore
please keep this document confidential.
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