Rotation Registration Form Page 2

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D
M
S
IVISION OF
EDICAL
CIENCES
R
E
OTATION
VALUATION
(T
L
A
)
O BE COMPLETED BY
AB
DVISOR
I
,
.
F THE INFORMATION ENTERED IS NOT LEGIBLE
THIS SHEET WILL BE RETURNED TO YOU
T
.
YPE OR PRINT LEGIBLY
Student:
DMS Program Affiliation:
Biological & Biomedical Sciences
HMS Department Affiliation of Lab:
Head of Lab:
Lab Supervisor (if different):
Rotation Start Date:
/
/
End Date:
/
/
Excellent
Average
Poor
Technical Skills
Lab attendance
Communication skills
Knowledge of Subject
Please check one. Final Grade:
o Satisfactory
o Unsatisfactory
•
Please comment on the skills learned and the progress made during this rotation and the student's strengths and
weaknesses. Have you observed any gaps in knowledge? Recommendations for further training?
•
Would you consider offering this student a place in your lab for his/her thesis work? If no, please state why.
Lab Head Signature
Date
Rotation Supervisor (if different)
Date
P
:
LEASE RETURN TO
B
& B
S
, GORDON HALL, RM. 005, H
M
S
, 617-432-0179 (
)
IOLOGICAL
IOMEDICAL
CIENCES
ARVARD
EDICAL
CHOOL
FAX
Grades and credit for rotations will not be assigned unless this form is submitted to your Program Coordinator.
Copies of this form may be obtained from your Program Coordinator.
FORM UPDATED 06/02

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