Cover Form - Krieger School Of Arts

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Post-Baccalaureate Premedical Program
Cover Form for Applicant Evaluation Letters
________________________________________________________________________________________
Applicant’s Name
Last
First
M.I
Name of Writer
_________________________________________________
Title
____________________________________
______________________________________________________________________________
Writer’s Institutional Affiliation
__________________________________________________________
______________________
Writer’s Address
Telephone
Street
Apt.
_______________________________________________________________________
E-mail
__________________________
City
State
Zip Code
INSTRUCTIONS FOR THE APPLICANT
Two evaluation letters are required to complete your application. One letter should come from a member of the faculty in your major area of
study from the undergraduate or graduate degree program you attended. An exception will be made to this rule if there has been a significant
hiatus since you graduated. In that case, you may submit two professional letters of evaluation. The other evaluation should come from another
member of the faculty who taught you in college or graduate school, or someone who supervised your employment or volunteering. We will not
accept personal references from relatives or friends. All letters must have this form attached, be on official letterhead, and signed by the
writer.
If possible, we prefer that you obtain the letters, in signed and sealed envelopes, directly from your evaluators, and submit the letters to the
Post-Baccalaureate Premedical Program Office with the other supporting materials for your application. If letter writers prefer to submit their
comments directly to our office, they may do so. (It is helpful to give the writer a stamped envelope addressed to this office.) Applications will
not be considered complete nor reviewed until all application materials, including letters of evaluation, are received.
The Family Educational Rights and Privacy Act of 1974 entitles students to have access to evaluation letters in their permanent files at Johns
Hopkins University. The applicant may waive this right of access, in which case evaluation letters will be considered confidential by Johns
Hopkins University and will not be available to the student. Please indicate your decision by checking one of the circles below and
signing your name where indicated, then forward this form to your letter writer.
I do not waive my right of access to this evaluation letter.
I waive my right of access to this evaluation letter.
Applicant’s Signature ___________________________________________________________ Date _______________________________
INSTRUCTIONS FOR THE WRITER
Please write an evaluation for the person named above who is applying to the Johns Hopkins Post-Baccalaureate Premedical Program. This is
a rigorous program of study in which students complete the science courses required for admission to medical school. Please i nclude in your
letter the length of time and capacity in which you have known the applicant and your assessment of this person’s talents, personal
qualifications, integrity, and potential for successfully completing a challenging academic program.
Letters should:
be on your official letterhead or include your official business card
include your signature
include this form
Please return your letter with this form, in a sealed and signed envelope, to the applicant or mail or email them directly to:
Post-Baccalaureate Premedical Program
E-mail:
postbac@jhu.edu
The Johns Hopkins University
Wyman S715
3400 North Charles Street
Fax:
410-516-5233
Baltimore, MD 21218
Telephone:
410-516-7748
Writer’s Signature______________________________________________________________ Date _______________________________

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