Academic Reference Form

Please complete this reference survey for the student applying for Branch Out funding. Your responses are completely confidential in our review process. 

Personal information

Student Evaluation


Fill in the 3 fields below to fill in the blanks of this sentence:
OVERALL I would rank the applicant in the top (1)% of approximately (2) students at their current level that I have encountered in my (3) years of experience.
Please rate the applicant on the following scale:
A++ Upper 2% | A+ Upper 5% | A Upper 10% | B Upper 20% | C Upper 30% | D Upper 50% | F Bottom 50% | ? Unable to Judge

PI Questions

Please fill out this page ONLY IF you are the Principal Investigator of the project AND/OR the Primary Supervisor for the student. This page is intented to inform the broader lab context of the student's application. If you are NOT the student's PI, please skip this page the final submission page.

Consent