Pre-Health Professional Evaluation at MSUM

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Major:

Professional Program(s) Chiropractic Dentistry Medicine MD/DO Occupational Therapy Optometry Pharmacy Physician Assistant Physical Therapy Veterinary

Evaluator Information

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Position:

Department/Division:

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Relationship to Applicant (describe all that apply)

Lecture instructor in:

Laboratory instructor in:

Academic advisor:

Independent study supervisor:

College committees and/or clubs:

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How well do you know the applicant?

How long have you known the applicant?

Personal Traits of the Applicant

Intellectual/Academic Potential - ability to succeed in this professional program Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Motivation - genuineness and depth of commitment Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Maturity - personal development, ability to cope with life situations Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Emotional Stability - performance under pressure, mood stability, ability to relate to others Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Interpersonal Relations - ability to get along with others, build rapport, cooperativeness Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Empathy - sensibility to the needs of others, consideration, tactfulness Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Judgment - ability to analyze a problem, common sense, decisiveness Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Resourcefulness - originality, skillful management of available resources Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Reliability - dependency, accuracy, sense of responsibility Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Communication Skills – Oral - ability to express ideas effectively Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Communication Skills – Written - ability to write clearly, spell correctly, and express ideas effectively Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Perseverance - stamina, endurance, determination Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Self Confidence - assuredness, awareness of strengths and weaknesses Superior Top 10% Excellent Next 10% Very Good Next 15% Good Next 40% Fair Next 20% Poor Bottom 5% Cannot Judge

Narrative

Overall Assessments of Application Highly Recommend Recommend Recommend with Reservation Do Not Recommend

Pre-Health Professional Committee Evaluation

Committee Evaluation Form

Evaluator Information