Doctoral Scholars Forgivable Loan Program

Applicant must hold an undergraduate degree from an accredited engineering institution, be accepted into a full-time engineering or related science doctoral program at an accredited institution, and be a citizen of the U.S., Canada or Mexico. Applicant must plan to teach engineering at the college level upon graduation. Forgivable loans in amounts up to $5,000/year for three years are awarded to the recipient.

* denotes required fields.

*Student's Name
*Student's University
*Reference's last name
*First name
*Title/Position
*Employer
*Home Street Address
*City
*State/Province
*Zip+4
*Country
*Home Telephone
*Fax
*Email

Are (were) you the principal advisor for the applicant?
Masters program	Yes	No
PhD program	Yes	No

*Summary Evaluation
Please rate the applicant in comparison with a representative group of students in the same field who have had approximately the same amount of experience and training.

I do not know the student well enough to give a recommendation. (If this item is checked, you do not need to complete the rest of this form. Please click on the 'Submit' button at the end of the form.)

5-Excellent (upper 10%)

4-Above Average (Upper 25%)

3-Average (Upper 50%)

2-Below Average

1-Insufficient Information

Please rate the following on the above scale: 5 4 3 2 1 General Scholarly Ability Ability - Oral Expression Ability - Written Ability - Work With Others Expression Imagination & Creativity Leadership Potential Potential to be a Teacher

*Please check the educational level of the group with whom the applicant is compared.
College Senior
College Junior
1st Year Graduate Student
Advanced Graduate Student

*Please comment on the appraisal given above and make any observations that would help SAE make its decision (e.g. matters related to character and responsibility, scholarly ability, potential teaching ability, etc.)

*Some gifted individuals have mediocre scholastic records. Is the applicant's scholastic record, as you know it, an accurate index of his/her academic ability?
Yes
No
Don't Know
If you answered NO, please explain. You may wish to give consideration to the applicant's performance in independent programs or in research participation programs.

*In your view, does the applicant have an interest in the broad field of technology addressed by SAE (as described at the bottom of this document)?
Yes
No
Don't Know
If NO, please explain.

*Do you believe the applicant is committed to, and capable of, achieving a doctorate in engineering?
Yes
No
Don't Know
If NO, please explain.

*Do you believe the applicant will pursue a college engineering teaching career upon graduation with a doctoral degree?
Yes
No
Don't Know
Please explain.