Jim Holland Summer Science Research Program Teacher Recommendation
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3Student Name: ________________________________________________________________
Last
First
Middle
Gender:
Female
Male
School Name: ______________________________________
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ECOMMENDATION
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(Please fill in PDF documents, print, and sign before mailing.)
The student who has provided you this form is applying for participation in the Jim Holland
Summer Science Research Program on the Indiana University Bloomington campus.
Students being considered for participation are currently in grade 9, 10, or 11, have a sincere
interest in science and in attending college or a university, and are academically on track to
do so. They should have a minimum GPA of 3.2 (non-weighted).
The application process requires recommendations from two (2) teachers who are capable of
judging the academic promise of the student. Please complete the following for this student:
• Evaluation Form
• A personal letter of recommendation
Please return the evaluation form and the separate recommendation in a sealed envelope,
with your signature written across the sealed flap, in time for the student to meet the
deadline of March 18,
2016. The sealed envelope should be given to the student
following
or mailed directly to: PLEASE DO NOT FAX OR EMAIL DOCUMENTS.
Indiana University Department of Biology
Attn: Jim Holland Summer Enrichment Program Selection Committee
1001 East Third Street / Jordan Hall 326
Bloomington, IN 47405-3700
Late forms and letters will eliminate the student from consideration.
Please provide the following information:
Teacher Name
___________________________________________________
(Please Print)
School Name _____________________________________________________________
School Address:
________________________________________________________________
Street Name and Number
_______________________________________
_______
_____________
City
State
Zip Code
Phone Number: _(_____)_____________ ext. _______
Email Address _________________________________ Subject Area _______________
How long have you known the applicant? ________________
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