Health Professions Advisory Committee Student Evaluation Form

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HEALTH PROFESSIONS ADVISORY COMMITTEE STUDENT EVALUATION FORM
To the student:
Fill in the information requested on this page and on page 4 and 5 of this form. Of the
types of schools listed below, please indicate your choice. If you select more than one,
indicate the order of preference, i.e., first choice is number 1.
To Professor: _______________________________ Date: ________________
_________________________________________________ is planning to apply for
admissions to the following type(s) of school(s):
Dental
Medical
Optometry
Osteopathy
Podiatry
Veterinary
The Health Professions Advisory Committee of Lycoming College would appreciate receiving your
evaluation of the applicant. This will be used to write one letter of recommendation to the professional
schools to which the applicant applies.
The health professions schools are interested in the applicant's character, personality, intellectual
capacity, etc. We are asking you to consider the various aspects of the applicant's work - papers,
experiments, projects, performance in class, etc. - which might reflect on aptitude for health
profession training.
In order to help the Committee write its formal letter of recommendation, we ask that you check the
attached rating sheet and use page 3 for comments on the student's traits, abilities, etc.
TEAR OFF AND RETAIN THE LAST PAGE OF THIS FORM FOR YOUR RECORDS.
Do not return this evaluation form to the applicant; return it to: Dr. Edward G. Gabriel, Department of
Biology, Lycoming College, Williamsport, PA 17701.

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