Scholar Candidate Evaluation Form printable pdf download

Scholar Candidate Evaluation Form

PENN STATE BIRCWH PROGRAM

Scholar Candidate Evaluation Form

Name of Candidate:

Name of Reviewer:

Based on your review of this candidate’s application, please score the candidate on a

scale of 1 to 5 (1 = excellent, 5 = poor) in the following areas:

1. Quality of the proposed research project related to women’s health or sex/gender

differences related to health

______

2. Commitment to a career in research related to women’s health

______

3. Commitment to interdisciplinary research

______

4. Capacity to become an independent research investigator within 2-3 years

______

5. Previous research training and experience

______

6. Quality of referee letters

______

7. Appropriateness of the mentoring team

(e.g. multidisciplinary, cross-campus, expertise of mentor

______

Overall Rating: _____

Strengths:

Weaknesses:

Suggestions for the mentor team (if any):

Email review to: Cynthia Chuang, MD, MSc, Penn State BIRCWH Research Director, at

cchuang@hmc.psu.edu

Revised November 15, 2012

Scholar Candidate Evaluation Form