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Summer Program for Women in Mathematics
June 29, 2013
to August 3, 2013
FACULTY REFERENCE FORM
Name of Applicant _____________________________________________________________
I waive my right of access to this recommendation letter:
-----
yes
-------- no
Student's
signature _______________________________________________________
THE FOLLOWING
TO BE COMPLETED BY FACULTY RESPONDENT
Name of Respondent (Print): ______________________________________ Title __________________________________________________________
Institution _____________________________________________________
Address _______________________________________________________
_______________________________________________________
Phone
Number __________________________________________________
E-mail
address __________________________________________________
Respondent's
signature _______________________________
Date
______________________________________________
This student is
applying to enter a summer program to prepare and encourage talented women
undergraduates to pursue advanced degrees and careers in the mathematical
sciences.
Please indicate in what capacity you have worked with the student, and compare her to other students who may have gone on to graduate school in mathematical sciences. Please give us your candid opinion of her potential for success and indicate how our program might benefit her.
Please use the back of the form or your own stationery for your assessment and return it so as to reach us by March 1, 2013 to:
Summer Program for Women in Mathematics
Department of Mathematics (
The