Fillable 3+2 Physician Assistant Program Science Teacher Evaluation Form (Saint Mary's University of Minnesota)

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3+2 Physician Assistant Program Science Teacher Evaluation Form (Saint Mary's University of Minnesota)

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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
Email: admission@smumn.edu
Fax: 507-457-1722
Student Name ______________________________
Instructor Information
Name
Email
Phone
School Information
Name
No
Basis
Characteristic
Below
Average
Average
Good
(above
average)
Very Good
(well above
average)
Excellent
(top 10%)
Outstanding
(top 5%)
Top Few
Intellectual
promise
Maturity
Leadership
Integrity
Reaction to
setbacks
Concern for others
Commitment
to a career in
healthcare
Initiative
Ability to work in a
team
OVERALL
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
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3+2 Physician Assistant Program Science Teacher Evaluation Form (Saint Mary's University of Minnesota)

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Completed 24 July 2020

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