RESEARCH CAREER AWARD MENTOR FORM
Mentor Name
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First Name
Last Name
Mentor Email
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example@example.com
Research Career Award Applicant's Name
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First Name
Last Name
What was the applicant’s title or position while affiliated with your organization?
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What was your supervisory relationship to the applicant?
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Please estimate the total number of hours the applicant worked with you:
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Upload your letter of recommendation. Please Include specific instances where the above characteristics were demonstrated as well asthe identification of both strengths and areas of needed improvement areessential.
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Please select the degree of your overall evaluation of the applicant based on his or her performance of duties and responsibilities
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Strongly recommend
Recommend with reservation
Do not recommend
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