Molecular and Cellular Biology at Dartmouth

7560 Remsen Building, Room 239, Hanover, NH 03755-3842

Phone (603) 650-1612 • FAX (603) 650-1006
http://www.dartmouth.edu/~mcb

Recommendation Letter Form

TO BE COMPLETED BY APPLICANT:
Applicant name (please print)
My signature below indicates that I waive / do not waive (circle one) my right of access to this letter.

Applicant signature___________________________________ Date_____________________

RECOMMENDER:
In a letter written on institutional letterhead, please provide your frank opinion of the applicant's
scholarship, ability, and character. Please indicate the nature of your relationship (teacher, advisor, etc.)
and how long you have known the applicant. A careful and candid discussion of the individual's strengths and
weaknesses will be much more helpful to the applicant than routine praise. This letter is confidential and will
be used for an admission decision only. In addition to your letter, it will aid the admissions committee if you
would please rate the applicant on each of the following characteristics in comparison with other students you
have known with approximately the same background.

Exceptional Outstanding Very Good Good Average Poor Unable to

top 1-2% top 10% top 20% top 1/3 Mid 1/3 Bottom 1/3 Judge
Intellectual Capacity

Originality and Creativity

Oral Expression

Written Expression

Interactions with Others

Maturity and
Motivation

Responsibility

Self-Reliance and
Independence
Research Ability

Overall Potential for

Success in PhD Program

Signature Position
Printed Name Company
Date

Please return this form directly to: Molecular and Cellular Biology Graduate Program
7560 Remsen Building, Room 239
Application Deadline: Dartmouth Medical School
January 7, 2005 Hanover, New Hampshire 03755-3842