Texas A&m University College Of Medicine Evaluation Form (Page 2 of 3) in pdf

Texas A&m University College Of Medicine Evaluation Form Page 2

Applicant Name_________________________________________ SS No. ________ - _______ - _________

A. Familiarity with Applicant

How long have you known the applicant?

Years

Months

How have you come to know the applicant?

B. Applicant's Academic Record: Is applicant's academic record indicative of intellectual ability?

Yes

No (If no, explain briefly below or expound in letter)

C. Profile: Complete by checking the boxes at the right which correspond to your evaluation of each characteristic.

Enter zero (0) if you feel you are unable to evaluate a specific trait.

0 (Low)

(High)

Reliability- intellectual and personal integrity,

promptness, conscientiousness

Motivation- manifests a desire for medicine

as career, persevering

Stability- self-control, judgment,

consistency, maturity, dependability

Social Values - sensitivity to needs of others

Intellectual Curiosity- interest in learning

Industry- drive, initiative, work ethic

Personality-manners, courtesy, tact, poise

Leadership- able to teach and direct others

Overall Assessment

Texas A&m University College Of Medicine Evaluation Form Page 2