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. Name of Reviewer(Required) First Last Your name Name of Applicant(Required) First Last Name of the application you are scoring Score Each Category:Score the applicant on a scale of 1-5, with 1 being the lowest and 5 being the highest score.Active Involvement in Program or Curriculum Development or Educational Research(Required)12345Peer-reviewed manuscripts, leadership roles, educational awards and honors(Required)12345Educational Scholarship Statement(Required)12345Short Essay Answers : Passion and enthusiasm, Scholarly Productivity, participantion in professional societies, role modeling of professional characteristics(Required)12345Additional Comments or Feedback for the Awards CommitteeNameThis field is for validation purposes and should be left unchanged.