Richard H. Tomlinson Doctoral Fellowships 2016-2017
Referee's Report
1. PERSONAL DATA
Applicant Name:
Telephone:
Email:
Competition deadlines:
Unit/Department deadline:
Faculty of Medicine deadline: June 16, 2016
2. DEPARTMENT INFORMATION
Applicant must indicate the complete address of the department to which this appraisal must be
sent.
Department Name:
Department Address:
Referees must send original appraisals directly to the above department in an envelope marked
with the applicant's name and "Richard H. Tomlinson Doctoral Fellowships and Lloyd Carr-Harris
Fellowship ".
Note to Referees: McGill University is subject to the Act respecting access to documents held
by public bodies and the protection of personal information. Pursuant to the Act, the
candidate has access, upon request, to the nominative information concerning her/him found in the
evaluations.
3. REPORT
PART A
I have known the applicant in my capacity as _____
_____________since __
________
and I have read the applicant's research proposal.
Please indicate your perception of the candidate, on each dimension below, by checking the box that
best reflects your view of the candidate's performance.
Unable to
Always
Often
Sometimes
Rarely
exhibits
exhibits
exhibits
judge
exhibits
Critical thinking and judgment
(evaluation of all information)
Independence (pursuit of knowledge
using own initiative)
Perseverance (persistence in pursuit of
goals despite obstacles or discouragement)
Originality (imagination or ingenuity in
problem solving)
Organizational skills (systematic,
careful planning and coordination)
Interest in discovery (enquiring
mind/strong desire to pursue knowledge)
Research ability (natural talent or
acquired proficiency for scientific
investigation)
Academic excellence (knowledge of
discipline; strong theoretical background)
Communication skills (effective oral
and written communication)
Leadership & interpersonal skills
PART B
Please add a separate page on letterhead paper providing an explanation and specific
examples with respect to each characteristic in Part A. When writing your comments, bear in mind
that applications are reviewed by multi-disciplinary selection committees who may not be familiar
with the field.
4. SIGNATURE
Name of Referee:
Email:
Signature:
Date: