Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ANSC Faculty Evaluation Form for Scholarship Application
Please include as much information as possible.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student UID
*
Your answer
Faculty Evaluator
*
Your answer
How do you know this student?
*
Your answer
Scholarship
*
England - Awarded to selected students within the ANSC major who clearly demonstrate an interest in obtaining a career in the dairy industry.
Kinghorne - Awarded to undergraduate students with demonstrated interests in poultry production or avian business. Recipients of the Kinghorne Scholarship are required to take the two departmental poultry courses and complete an internship within the poultry industry.
Rummel - Awarded to one student with a demonstrated interest in conducting research in Avian Ethology. The recipient of the Rummel Scholarship will complete a research project directed by a faculty member within the ANSC Department. Students interested in applying for this scholarship should also include a proposal for the research project.
Brocksmith - Awarded to one student enrolled in the pre-veterinary option within the ANSC major. This scholarship is awarded based on merit.
Required
Perception of intellectual ability
*
Outstanding
Excellent
Good
Average
Below average
Poor
Cannot assess
Comments on your perception of student's intellectual ability
Your answer
Interest in the discipline of the scholarship (vet med, equine studies, poultry industry, etc.) If the student is applying for more than one scholarship, please use the comments section to elaborate on the interest in EACH discipline.
*
Outstanding
Excellent
Good
Average
Below average
Poor
Cannot assess
Comments on interest in the discipline of the scholarship (vet med, equine studies, poultry industry, etc)
Your answer
Leadership in class and in departmental activities
*
Outstanding
Excellent
Good
Average
Below average
Poor
Cannot assess
Comments on leadership in class and in departmental activities
Your answer
Likelihood of future success in the discipline
*
Outstanding
Excellent
Good
Average
Below average
Poor
Cannot assess
Comments on likelihood of future success in the discipline (vet med, equine studies, poultry industry, etc.) If the student is applying for more than one scholarship, please use the comments section to elaborate on the interest in EACH discipline.
Your answer
Integrity
Absolutely trustworthy
Have not observed flaws in integrity or ethics
Occasionally compromises ethics for personal gain
Untrustworthy
Honor council judgment has been made against this student
Cannot assess
Clear selection
Comments on integrity
Your answer
General comments:
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of University of Maryland, College Park.
Report Abuse
Forms
