Applicant Name:
The above named student is applying to SURPH@Duke, a summer research fellowship program in the Department of
Pharmacology and Cancer Biology at Duke University Medical Center. Please comment on your relationship to the
applicant, your knowledge of his/her abilities, and your opinion of his/her potential for pursuing future research training
as a PhD or MD/PhD candidate. Please return this form in the format of a PDF by midnight on February 10, 2016.
Option 1: Email baize@duke.edu with the subject title “SURPH@Duke-[Student Name] recommendation”
Option 2: Fax Jamie Baize-Smith at (919) 681-7139 Subject: SURPH@Duke-[Student Name] recommendation”
Name _________________________________________
Position/Title ______________________________
College/University _______________________________
Date ______________