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Pre-health Resource Page

Sample Course Programs

SUNY New Paltz Committee on Prehealth Studies
Confidential Student Recommendation Form

Return to:
Patrick R. Saxe
Pre-Health Advisor
SUNY New Paltz
1 Hawk Dr.
New Paltz, NY 12561

Name of Applicant:__________________SID#:_________________

The Applicant waives her/his right to examine this letter at a later time.

Applicant's Signature:_____________________________________Date:____________

Quality
Top 5%
Next 15%
Average
Below Average
Not Observed
Character          
Emotional Balance          
Maturity          
Motivation          
Communication Skills          
Intellectual Ability          
Judgment          
Perseverance          
Please provide specific comments about the applicant's likely performance
in medical school (attach a separate sheet and/or continue on back):


Evaluation (circle):      Superior      Strong       Average       Non-competitive

Evaluator's Name and Title: __________________________________

Address: ________________________________________________

Signature:___________________________ Date:_________________