dean approval form - Doris Duke Charitable Foundation

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Doris Duke Charitable Foundation Clinical Research Mentorships
Dean’s Approval Letter
To the applicants: Please give this form to the Dean of the medical school in which the potential
medical student mentee is enrolled. Fill in the medical student’s name at the top. After the Dean has
signed the form, please convert to PDF and upload as part of your application.
To the Dean of the medical school: Thank you for agreeing to write a letter for an applicant to the
Doris Duke Clinical Research Mentorship program. In this program, medical students will take a year
out to conduct a mentored year of research. They will be mentored by a scientist supported by the
Doris Duke Charitable Foundation. The mentor and mentee must submit an application together. This
letter is part of that application.
Please answer the two questions below. You may also write a brief, optional section on the student’s
potential for scholarly achievement. Please note that this letter is not confidential and should be
returned to the student to submit with his/her application. Limit the text to 1 page, 12 pt. font.
Medical Student’s name: _________________________________________
This medical student is in good academic standing at my institution:
 Yes
 No
I approve of this student’s participation in the yearlong Doris Duke Clinical Research Mentorship
program:
 Yes
 No
Your Contact Information
Name:
Title:
Institution:
Email Address:
Signature:
Date:
__________________________________________________
_____________________
Optional brief description of student’s potential for scholarly achievement (limit 1 page):
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