Recommendation Form

Faculty Recommendation Form

We would appreciate your candid evaluation of the student listed below who is applying for the NIH/NIMHD Minority Health and Health Disparities International Research Training Fellowship. Your comments will be held confidential. Your prompt response will be appreciated since incomplete applications will not be evaluated. Please upload your recommendation letter as a .doc/.docx or . pdf at the end of this form. Thank you in advance for your time and cooperation.

Faculty Recommendation Form

Please fill out the faculty recommendation form for the MHIRT program. All fields are required unless stated otherwise.
  • Student's Information

  • Can be found in the automated email you received from the MHIRT program.
  • Your Information

  • Please upload your recommendation letter

    In writing your recommendation, please include the following: How long you’ve known the applicant, and in what capacity; How well acquainted you are with the quality of the applicant’s work; If the applicant is currently in any of your courses, or in your lab/research group; What, if any, lab or research techniques the applicant has strengths in; your assessment of the applicant’s general intelligence, academic abilities, ability to integrate information, creativity, perseverance, social adaptability.

    Also please answer the following questions:

    Why do you feel that this applicant would benefit from the MHIRT program? (The purpose of the mhirt program is to broaden cultural perspectives and encourage gifted minority students to consider a research career in the biomedical/behavioral sciences by entering a doctoral degree-granting program. The long-term goal of MHIRT is to increase minority faculty representation in the biomedical sciences.)

    To your knowledge, are there any special circumstances — financial, social or otherwise — which you believe require consideration?

  • Formats allowed: pdf, doc or docx.
    Accepted file types: pdf, doc, docx.
  • Almost Done…

    By re-typing your name and date at the end of this form, you certify that the information in this application is correct to the best of your knowledge and belief.

On behalf of the MHIRT Directors, thank you for taking the time to submit the recommendation.