1 Tower Lane, Suite 2410, Oakbrook Terrace, IL 60181 - P: (630) 478-0480
2024 POGO VISITING SCHOLAR PROGRAM
LETTER OF RECOMMENDATION FORM
To be completed by an academic instructor, employer/supervisor, or an active POSNA member of good standing with whom you have worked in the past.
Date:
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Month
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Day
Year
Date
Name of Scholarship Applicant:
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Your Name:
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Title and Position
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Institution:
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Telephone:
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E-mail:
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1. In what capacity and how long have you known the applicant?
2. How firm is the applicant's commitment to his / her field of work/study?
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3. In what way would attending this meeting contribute to the applicant’s academic or professional development?
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4. In what way would a visiting fellowship contribute to the applicant’s ability to influence the health and well being of children with orthopaedic conditions?
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5. How would you rate the applicant in the following areas? If you are unable to evaluate an area please mark N/A.
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Excellent
Very Good
Average
Below Average
N/A
Clinical Knowledge
Academic Knowledge
Leadership
Initiative
Seriousness of People
Adaptability
Maturity
Teaching Ability
Research Generation
6. Please cite specific examples of how the applicant has demonstrated the qualities listed in question 5.
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7. Additional comments:
Submit
Should be Empty: