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UVa Biotech Externship Evaluation

Page One

1. Name *This question is required.

2. Title *This question is required.

3. Email *This question is required. This question requires a valid email address.

4. Company Name

5. Trainee Name *This question is required.

6. Brief description of externship project/responsibilities *This question is required.

7. Trainee skills/abilities *This question is required.

Space Cell	Exceptional	Above Average	Average	Below Average	Poor
Scientific Acumen
Bench/Research Skills
General Intellectual Ability/Curiosity
Interest/Enthusiasm/Commitment
Interpersonal/Communication Skills

8. Comments, including specific strengths/weaknesses of trainee *This question is required.

9. May we include you on the list of lab options for future UVa Biotechnology Training Program externship experiences?

10. Please share your reservations (question 9)

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