Awards Score Sheet: Clerkship Coordinator - The Association for Surgical Education

Once you hit submit, your score will be submitted and this page will refresh to show a blank form. Please submit a score for each application in the award category.

Comments

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Name of Reviewer(Required)

Your name

First Last

Name of Applicant(Required)

Name of the application you are scoring

First Last

Score Each Category:

Score the applicant on a scale of 1-5, with 1 being the lowest and 5 being the highest score.

Evidence of creativity, expertise, and/or commitment to their work within the Surgery Clerkship Program(Required)

Leadership inside and/or outside their institution, including activities in professional organizations related to medical student education(Required)

Evidence of commitment to the education of peers through presentations or other active roles within their institution and/or the Association for Surgical Education (ASE)(Required)

Strength of LOR(Required)

Additional Comments or Feedback for the Awards Committee