Gulf Coast Consortia

HAMBP: Mentor Recommendation Form

MENTOR RECOMMENDATION FORM

Please use this form to submit a mentor recommendation letter in conjunction with the sponsorship of a HAMBP trainee fellowship application. Complete all portions of this form.

Most importantly, before you submit this form you will be asked to review some important HAMBP policies pertaining to mentorship. By submitting this form, you acknowledge that you have read, understood, agree with, and will act in accordance with the policies described. If you do not understand the policies or have any questions or concerns about how they may apply to you or the fellowship applicant to whom this recommendation pertains, please contact our office at (713) 348-4752 or via email to amyjackson@rice.edu before submitting this form.

Only ONE mentor is required for the HAMBP program.

Information in red is required.

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING THIS FORM.

By submitting this form, you acknowledge the following:

(1) Applicants for funded fellowship MUST be U.S. citizens or Permanent Residents. You have seen the applicant's passport, birth certificate, or Permanent Resident card and determined that the applicant for this fellowship is eligible.

(2) You understand that the primary mentor is responsible for providing stipend to the trainee in advance of the transfer of any awarded HAMBP funds for that purpose via amendments to existing subcontracts. Subcontract amendments take time to process, so you may be asked to support 100% of your approved applicants stipend for up to four months. Approved fellows must receive their stipend beginning with the start of their appointment and it is the mentor's responsibility to see that their institution processes the necessary personnel paperwork IN ADVANCE of the arrival of HAMBP funds. This is called "interim funding". To process interim funding, you will be furnished with a summary budget for each approved applicant, signed by the supporting grant's PI. No other proof of support will be furnished by the HAMBP.

(3) You have reviewed with departmental and human resources staff at your institution the applicant's prospective status regarding eligibility for fringe benefits depending on the final stipend sources, fringe sources, % effort, and have carefully read the information provided here concerning stipend amounts, medical insurance (and have contacted the HAMBP Office to establish specific amounts available), and fringe.

(4) You must notify the HAMBP Office at least two weeks prior to the termination of any trainee and furnish the exact date of termination via email and/or in writing. Likewise, significant changes in % effort, work status, appointment, or academic standing should be communicated to the HAMBP Office.

Mentor

Last Name

First Name

Middle

Primary Email address

Institution

If another institution:

Academic title

Department

Address 1

Address 2

City

State

Zip

Attention

Telephone number

Fax number

Web Page URL

Dual mentorship is not required for predoctoral fellows in HAMBP but may be appropriate and can be accommodated.
Dual mentorship means the trainee has two mentors, one of whom is biological in focus.

Type of Mentorship:
Applicant's Last Name		First Name		Middle
Desired Start Date
Fellowship Type

Applicant evaluation

Please evaluate the applicant's overall ability and likelihood of becoming a productive first quality researcher in this field.
Please include a brief statement about your relationship with the applicant, and how long you have known him/her.

-

Please comment on the following specific points if you feel comfortable doing so.

1) Does the applicant appear to have a career plan consistent with his/her stage of development? Does it appear realistic, and does the applicant have the ability to achieve it?

2) Please comment on the quality of the applicant's publications, abstracts, or other research presentations and describe the applicant's role in these.

3) Does the applicant have the written and oral presentations skills to communicate effectively in academics, research and professional settings? To work effectively within an interdisciplinary group ? To work with non-technical audiences and groups?

4) How would you rate the applicant's overall academic and intellectual ability including GPA, difiiculty of prior academic work and any recognition received. Has the applicant had to overcome any unusual barriers or difficulties in his/her prior training?

5) How would you rate the applicant's creativity and ability to assilimilate information from a variety of disciplines? Does the applicant have the ability and desire to synthesize new interdisciplinary ideas and concepts?

6) How would you rate the applicant, relative to other trainees you have known at comparable stages of development, in terms of overall potential for an interdisciplinary research career?

Top 1% Top 5% Top 10% Top 25% Top 50% Lower 50%

Provide Current Research Support Information
For each grant, provide funding agency, project title, grant number, the total award period, and direct costs PER YEAR.

Mentoring Plan (max. 400 words)

Mentoring and Training Plan

Please provide a copy of the plan you and the applicant have jointly developed and which the applicant has provided in his/her application. Add any additional comments you feel will be beneficial to the reviewers.

The Mentoring and Training Plan should describe how the applicant's training will prepare the applicant to achieve his/her career goals. Please include anticipated didactic course work, anticipated research training, enrichment activities and personal development (e.g. writing and speaking skills), professional meetings to be attended, etc. We are particularly interested in specifics regarding how you and your trainee's co-mentor plan to collaborate. Describe how you expect this to work. Include an estimated timeline for completion of the graduate or postdoctoral training program and specific milestones to be achieved.

used words (max. 400 words)

The primary mentor (only) must complete the portion of this form pertaining to current support information.

Please consult your departmental administrators concerning available appropriate options before completing the section below:

Total Stipend Planned for Applicant in USD:	$
Type of support earmarked for stipend supplementation:
Type of support earmarked for fringe provisions:

Department Administrator Contacted

Please enter the department administrator contact information for the Primary Mentor.

First Name		Last Name
Email Address		Phone

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Gulf Coast Consortia, Rice University, MS 141, 6100 Main Street, Houston, TX 77005, phone 713-348-4752