Form 16 Evaluation-Letter of Recommendations

NIH Office of Intramural Training & Education Application (OD)

Form16-Evaluation-LetterOfRecommendations

Evaluation - Recommendation Letters for Prospective Students

OMB: 0925-0299

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SUMMER INTERNSHIP PROGRAM

LETTER OF RECOMMENDATION FOR FIRSTNAME LASTNAME
OMB No. 0925-0299
Expiration Date 8/31/2016
Respondent Burden
Instructions:
Copy and paste your letter of reference into the boxed area below. (Note: We recommend that you compose your letter off-line
and paste it into the space below. If you attempt to compose your letter while logged on to this site, you may experience a
connection timeout or some other technical problem beyond our control, which may result in your text being irretrievably lost.)
Click on the button below to submit your letter.

Reference Letter
Please update the fields below so that they correctly reflect your name, phone number and address.
Name:

Mr.
Title

First Name

MI

Last Name

Address:
Phone:
Reference Letter
Please include your name, academic rank, department and institution in your signature block.

Submit

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POSTBACCALAUREATE IRTA PROGRAM

LETTER OF RECOMMENDATION FOR FIRSTNAME LASTNAME
OMB No. 0925-0299
Expiration Date 8/31/2016
Respondent Burden
Instructions:
Copy and paste your letter of reference into the boxed area below. (Note: We recommend that you compose your letter off-line
and paste it into the space below. If you attempt to compose your letter while logged on to this site, you may experience a
connection timeout or some other technical problem beyond our control, which may result in your text being irretrievably lost.)
Click on the button below to submit your letter.

Reference Letter
Please update the fields below so that they correctly reflect your name, phone number and address.
Name:

Mr.
Title

First Name

MI

Last Name

Address:
Phone:
Reference Letter
Please include your name, academic rank, department and institution in your signature block.

Submit

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GRADUATE PARTNERSHIPS PROGRAM

LETTER OF RECOMMENDATION FOR FIRSTNAME LASTNAME
OMB No. 0925-0299
Expiration Date 8/31/2016
Respondent Burden
Instructions:
Thank you for taking the time to complete and submit the NIH Office of Intramural Training & Education (OITE) evaluation table and
letter of recommendation form for the Graduate Partnerships Program (GPP). Your recommendation is very important to our selection
process. We recommend that you compose your letter off-line and paste into the space provided. If you attempt to compose your letter
while logged on to this site, you could experience a connection timeout of another technical problem beyond our control, which could
result in your text being irretrievably lost. Should you have any technical issues or questions, please e-mail me at your earliest
convenience.
Letters of recommendation uploaded from a letter service are not acceptable. If you are a representative from a letter service, please do
not proceed with submitting this form. The use of a letter service for a reference may trigger a technical issue that could seriously
compromise the student's application. Recommendation letters must be received directly from those providing references.
Indicates a required field.

Evaluation Form
How long have you known the applicant?

Length:

In what capacity have you known the applicant?

Capacity:

The evaluation form asks for your assessment on several aspects using the following rating system.
5 = Exceptional - Top 1%
4 = Excellent - Top 10%
3 = Above Average - Top 25%
2 = Average - Top 50%
1 = Below Average - Bottom 50%
Note: FIRSTNAME LASTNAME has waived his/her right to access the information contained in your letter of recommendation. See
the Family Educational Rights & Privacy Act.
Overall Impression:
5

4

3

2

1

3

2

1

Writing Ability:

Intelligence:
5

4

5

4

3

Initiative:
2

1

5

4

3

2

1

Analytical Ability:
5

4

3

Interpersonal Skills:
2

1

5

4

3

2

1

2

1

5

4

3

2

1

4

5

4

5

4

3

2

1

Knowledge of Field:
3

2

1

3

2

1

Confidence:

Verbal Ability:
5

3

Motivation:

Research Ability:
5

4

Honesty:

5

4

3

2

1

3

2

1

Maturity:
5

4

Recommendation Letter
Please copy and paste your letter of reference into the boxed area below. Please include your name, academic rank, department
and institution in your signature block.

Submit
Best regards,
Dr. Patricia Wagner
Director of Admissions & Registrar
Graduate Partnerships Program
Office of Intramural Training & Education
National Institutes of Health
2 Center Drive: Building 2 / Room 2E06
Bethesda, Maryland 20892-0234
Cell: 240-476-3619
E-Mail: [email protected]
Web: https://www.training.nih.gov/

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UNDERGRADUATE SCHOLARSHIP PROGRAM

LETTER OF RECOMMENDATION FOR FIRSTNAME LASTNAME
OMB No. 0925-0299
Expiration Date 8/31/2016
Respondent Burden
Instructions:
Please complete the form and click on the button below to submit your evaluation and letter of reference.
We recommend that you compose your letter off-line and paste it into the space below. If you attempt to compose your letter while
logged on to this site, you may experience a connection timeout or some other technical problem beyond our control, which may
result in your text being irretrievably lost.
Indicates a required field.

Evaluation Form
How long have you known the applicant?

Length:

In what capacity have you known the applicant?

Capacity:

The evaluation form asks for your assessment on several aspects using the following rating system.
5 = Exceptional - Top 1%
4 = Excellent - Top 10%
3 = Above Average - Top 25%
2 = Average - Top 50%
1 = Below Average - Bottom 50%

Note: FIRSTNAME LASTNAME has waived access to view your letter of recommendation.
Overall Impression:
5

4

3

2

1

3

2

1

Writing Ability:

Intelligence:
5

4

4

3

4

3

Initiative:
2

1

Interpersonal Skills:

Analytical Ability:
5

5

2

1

5

4

3

2

5

4

3

2

1

3

2

1

Honesty:
1

5

4

Research Ability:
5

4

3

Motivation:
2

1

5

4

3

3

2

1

Confidence:

Verbal Ability:
5

4

Knowledge of Field:

2

1

5

4

5

4

3

2

1

3

2

1

Maturity:
3

2

1

5

4

Service Obligation:
Indicate the likelihood of the applicant completing the service obligation asscoiated with the UGSP scholarship.
5

4

3

2

1

Recommendation Letter
Please copy and paste your letter of reference into the boxed area below. Please include your name, academic rank, department
and institution in your signature block.

Submit

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DHHS

USA.gov

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FOIA

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NIH VISIT WEEK - RECOMMENDATION LETTER
OMB No. 0925-0299
Expiration Date: August 31, 2016
Respondent Burden

Below is the recommendation form for the NIH Visit Week. NIH Visit Week is designed to bring Native
American students to the Bethesda campus to learn about resources and training opportunities at the
National Institutes of Health. Your letter of recommendation will carry significant weight in the selection
process. Please comment on this student's academic strengths, interest in biomedical research, and why
you think the student would be a good candidate to attend the NIH Visit Week. Your recommendation
letter is due by March 30, 2015.

STUDENT INFORMATION
Student First Name (Given Name):

Student Last Name (Family Name):

Student E-mail Address:

REFERENCE INFORMATION
Reference Title:

Reference First Name (Given Name):

Reference Last Name (Family Name):

Reference E-mail Address:

LETTER OF RECOMMENDATION
How long have you known the student?

In what capacity have you known the student?

Letter of Recommendation
(click and drag the icon in the lower right corner to expand the field)

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