ASAM Fellowship Research/Internship Advisor Form

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Thank you for your willingness to support this student as a potential ASAM Fellow. While this is an independent research or service project, your mentorship over the summer and fall of 2024 will be critical. If you have questions, please email Dr. Rupa Pillai (rupillai@sas.upenn.edu). The form must be completed by Friday, April 12, 2024.

Email *

Your Name *

Your Position *

How long have you known the applicant and in what capacity? *

What excites you about working with this applicant? *

Please offer your assessment of the applicant in the following characteristics. If you do not feel able to assess, please select "Unknown". *

Excellent

Good

Average

Poor

Unknown

Organized

Proactive/Self-starter

Responsive

Respectful

Self aware

Will you be available to mentor this applicant over the summer? *

Yes

Maybe

Other:

Will you be available to mentor this applicant over the fall 2024 semester? *

Yes

Maybe

Other:

If the applicant is doing research involving people, IRB approval is required. Will you be able to sponsor and help the applicant submit an IRB application by June. *

Yes

Maybe

The applicant's research project does not involve people.

The applicant will be completing a summer internship.

Anything else you would like us to know about this applicant?

A copy of your responses will be emailed to the address you provided.

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