Fillable RECOMMENDATION FORM

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RECOMMENDATION FORM

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The RECOMMENDATION FORM form is 2 pages long and contains:

  • 1 signature
  • 57 check-boxes
  • 14 other fields

Country of origin: OTHERS
File type: PDF

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RECOMMENDATION FORM
APPLICANT: Please clearly print your information below before giving the form to the individual submitting your recommendation.
SHPEP ID NUMBER ___________________________________________________________________________________________
NAME _____________________________________________________________________________________________
LAST FIRST MIDDLE
PHONE NUMBER ____________________________________________________________________________________
EMAIL ADDRESS _____________________________________________________________________________________
RECOMMENDER: Please clearly print your information and answer as many questions as your acquaintance with the applicant
permits. If you choose to submit a letter in addition to, or in substitution of this form, it must be printed on official institution
letterhead. Please include the first page of this form with your letter to assist with matching it to the correct application.
Email your recommendation to shpepletters@aamc.org. If you are unable to access email, please mail your recommendation to the
address below:
Summer Health Professions Education Program
Association of American Medical Colleges
655 K Street NW, Suite 100
Washington, DC 20001-2399
REFERENCE PROVIDED BY:
NAME _____________________________________________________________________________________________
COLLEGE/UNIVERSITY/COMPANY _________________________________________________________________________
TITLE/POSITION ______________________________________________________________________________________
DEPARTMENT ________________________________________________________________________________________
EMAIL ADDRESS ______________________________________________________________________________________
SIGNATURE_______________________________________________________________
DATE_______________
PLEASE RATE THE APPLICANT ON THEIR ATTRIBUTES AND SKILLS BELOW:
Outstanding
Good
Fair
Poor
Unable to Judge
In what capacity do you know the applicant?
Do you have any concerns about this student’s ability to participate in an intensive six-week residential program designed to
increase his/her preparedness for application and matriculation to a health professions school?
I have no concerns.
I have concerns about this student.
Please share anything you think is important for us to know about this student. Use additional paper, if necessary.
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RECOMMENDATION FORM

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Completed 18 January 2021

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