3+2 Physician Assistant Program
Science Teacher Evaluation Form
Please return this completed form to
Saint Mary’s University of Minnesota by mail or email:
Mail: Saint Mary’s University of Minnesota
700 Terrace Heights #2
Winona, MN 55987
Student Name ______________________________
to a career in
Ability to work in a
Written Evaluation (please use additional paper if needed)
Indicate all courses for which you taught the student.
Indicate how long and in what context you have known the applicant.
Provide your insights that will get to know this student better while highlighting their abilities for admission to the 3+2 program