Department of Chemistry
SUMMER 2001 UNDERGRADUATE RESEARCH ASSISTANTSHIPS
RESEARCH EXPERIENCES for UNDERGRADUATE PROGRAM
June 4 - August 10, 2001

REFERENCE FORM

The student named below asks that you provide a brief reference report in connection with his/her fellowship application.  We thank you for your time in doing so, and hope that we may receive your report by the application deadline:  March 1, 2001.

Student's Name___________________________________________(to be filled in by applicant)

Your contact with this student:
 

Your overall evaluation of this student, in comparison with others at a comparable academic stage at your institution.
(Please select only one.)
 
Outstanding 
Top 1 %		 Excellent 
Top 5%		 Good 
Top 15%		 Average 
Top 30%		 Below 
Average

Notable strengths:
 
 
 
 

Weaknesses:
 
 
 
 

Additional Comments (please continue on reverse if necessary, or attach additional sheets):
 
 
 
 
Signature:  Date: 
Your Name:  Title: 
Department:  Phone: 
Institution:  E-mail: 
May we contact you if clarification is needed?

  _____ Yes   _____ No

Please send to:
Prof. Joseph J. Grabowski
REU Program Director
Department of Chemistry
234 Chevron Science Center
University of Pittsburgh
Pittsburgh, PA  15260
Phone:  (412) 624-8632   Fax:  (412) 624-8611
E-mail: joeg@pitt.edu
 

last updated:  20 December 2000