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.Enthusiasm for surgery and surgery education research as demonstrated by a leadership role in a course or group related to surgery and surgery education(Required)12345Role in peer-reviewed surgery education manuscripts or curricular projects(Required)At least one required 12345Demonstrates the professional characteristics of a future surgery education researcher(Required)12345Strength of Personal Statement(Required)12345Additional Comments or Feedback for the Awards CommitteeCommentsThis field is for validation purposes and should be left unchanged.
