Engineering Internship Program
Massachusetts Institute of Technology
School of Engineering
Cambridge, Massachusetts
	
Phone:	617.253.8051
Fax:	617.253.8549
Email:	eipstaff@mit.edu
http://web.mit.edu/eip/www

Recommendation Form

APPLICANT: Please fill out the top portion of this form and give it to the person who is writing a recommendation for you.

Applicant Name		
	Last	First	MI
MIT ID #	        –        –         .
Major			

RESPONDENT: The applicant named above has asked your cooperation in helping us evaluate his/her application for the Engineering Internship Program (EIP). Please respond to the following questions using black ink or type, and send to the address shown on the reverse.

1.	I have known the applicant for ________ years as his/her:
	__ research advisor	__ academic advisor	__ class teacher
__ employer	__ department chairman	__ other

2.	Among _______ students I have known at a comparable level of education during the past _______ years, I rank him/her relative to his/her peers in the following categories:

(a)	Mastery of fundamental concept	_ top 5%	_ top 10%	_ top 25%	_ top 50%	
(b)	Imagination, originality and creativity	_ top 5%	_ top 10%	_ top 25%	_ top 50%	
(c)	Laboratory and other technical skills	_ top 5%	_ top 10%	_ top 25%	_ top 50%	
(d)	Breadth of knowledge and interests	_ top 5%	_ top 10%	_ top 25%	_ top 50%	
(e)	Motivation and drive	_ top 5%	_ top 10%	_ top 25%	_ top 50%	
(f)	Communication skills	_ top 5%	_ top 10%	_ top 25%	_ top 50%	
(g)	Overall potential for achievement	_ top 5%	_ top 10%	_ top 25%	_ top 50%	

2.	Among ________current students at his/her level, I rank the applicant ________ from the top in overall ability.

3.	I feel the applicant's scholastic record accurately reflect his/her potential for scientific or engineering achievement ___ yes ___ no. (If no, please comment in #7).

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5.	The applicant's principal strengths are:

	
	
6.	The applicant's principal areas for improvement are:

	

7.	Please make additional comments in the space below which, based on your knowledge of the applicant, can help us determine his/her potential for scientific or engineering achievement (use an additional page if necessary).

	

	

Respondent		
	Print Name	Signature
Title		
Affiliation		
Date		

Return promptly to:	Karl W. Reid
			Engineering Internship Program
			Massachusetts Institute of Technology
			77 Massachusetts Avenue, Room 1-211
			Cambridge, MA  02139
			eipstaff@mit.edu

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