1. Who may complete this form: A teacher in any subject considered “science” that has had the applicant
class or as an advisee. Preference is given to Biology, Chemistry, Physics and Environmental Sciences.
choice of reference is the applicant’s. The applicant need not be studying with the reference at present;
however, the student should be careful to choose someone who can best and most completely answer
questions. Parents or legal guardians may not complete forms for their children. Home schooled
should call for advice on references.
2. Please complete this form and return it immediately to the student in a sealed and signed envelope.
Application materials are due May 1, 2009.
3. The application will be disqualified if it is late or incomplete. This form expires May 1, 2009.
For each item below, please assess the applicant by assigning one of the following values:
A= Exceptional B= Above Average C= Average D= Below Average E= No opportunity to observe