University of Memphis Dietetic Internship Rating Form

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Dominick Lewis
7 years ago
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1 University of Memphis Dietetic Internship Rating Form Applicants Colleges Attended Confidence Score (from last page) Reviewers Applicant s Hometown RANK (director s use only) CRITERIA NOTES/COMMENTS GRE 1 Verbal Verbal % Criteria: 145/ International Student 138 Quantitative Scaled Quantitative % Criteria: 141 Analytical Writing Analytical Writing % Criteria 3.5 (<3.5 does not discount applicant) VISA TOEFL Background Info DPD Science 2 - Cumulative Undergrad (Cum UG) DPD Professional - Cumulative Undergrad Type Expiration date: Score / Percentile if reported Anything of concern? 6 = >165 5 = = = = >160 5 = = = = = = = = = = = = = <134 2 = = = = <129 Points = number in the tenth s place & round up (3.0=0; 3.10 = 1; 3.14 = 1, 3.75 = 8, 3.92= 9; 4.0=10 10 points maximum Overall Cumulative UG GPA 1 New GRE scoring has a scale of ; old GRE scoring has a scale of If > 1 taken, choose highest score from each section. If old scores are reported just make a note in comments. GRE Points possible based on Health and Medical Sciences graduate category of general test percentage distribution of scores: 2 The overall (last line of GPA by Year) score includes graduate work. The Cumulative UG is the third line from the bottom. If applicant has taken graduate courses, include that information in remarks (what courses and grades) 1

5 does not discount applicant) VISA TOEFL Background Info DPD Science 2 - Cumulative Undergrad (Cum UG) DPD Professional - Cumulative Undergrad Type Expiration date: Score / Percentile if reported

2 DPD Colleges Academic Quality of Schools Attended Coursework Summarize writing, math, science (organic/biochem), DPD grades trends, and rigorousness of curriculum. May extrapolate score if applicant doesn t fall neatly into one point category. Courses Planned or In Progress Honors & Awards Note grammar, composition, spelling,etc. Sports and Extracurricular Activities Note grammar, composition, spelling,etc. 5 = Strong Program 3 = Average Program 1 =Weak Program 5 = rigorous &/or excellent science grades 3 = average rigor; good science grades 1 = lower division science; minimal science; poor science scores Listed on next page (Courses of Projected Completion) to correspond with the appropriate page on DICAS application----- Hours or Weeks Total: 1 point for: minor awards, honors 3, scholarships, &/or activit(es) (<2 years) 2 points for: major award, honors, scholarships & or/activitie(s) (2-4 years). 10 points maximum 1 point for: varsity sports team, member of organization, minor officer/committee member, nondietetic volunteer experiences, active (obvious) involvement in any group except nutrition related. 2 points for: collegiate team, major officer, active involvement in students dietetics organization 10 points maximum Certifications Serv Safe = 1 Work Experience 4 Clinical Total hours or weeks 0-10 Management continued page 3 3 Deans List < 12 times = minor honors; Deans List > 12 times, summa or magna cum laude = major honors 4 Weigh paid work higher than volunteer or practicum work. Volunteer Experience is on next page 2

Sports and Extracurricular Activities Note grammar, composition, spelling,etc.

3 Community Health Research Other Volunteer Experience Clinical Total hours or weeks 0-10 Management Total hours or weeks 0-10 Community Health Other Course(s) of Projected Completion Personal Statement Personal Statement Content Didn t repeat application form -2 if applicant has difficult or many ( 6) DPD courses left to take. List courses: -2 to Strong interest in clinical nutrition 0-5 continued page 4 3

Personal Statement Content Didn t repeat application form -2 if applicant has difficult or many ( 6)

4 Personal Statement Strong interest in UM Program 0-5 Neatness/Format/Organization 0-5 Grammar/Spelling 0-5 Letters of Reference 1. Letter of Recommendation 2. Letter of Recommendation 3. Letter of Recommendation Resume- not all DPD programs require a resume Other points not covered in letter Appearance/Quality of Resume 4

Letter of Recommendation 2. Letter of Recommendation 3.

5 Supplemental Information-not all applicants will have supplemental information. Also, check the View Supplemental button on the page where you accessed student information. Transcripts Anything of note? Additional considerations for special circumstances, skills, hardships bilingual or double major. 0-5 TOTAL EARNED How confident are YOU that this candidate will be successful in OUR program? Extremely confident Very-Extremely Confident Very confident Somewhat-Very confident Somewhat Confident Not confident 5

Additional considerations for special circumstances, skills, hardships bilingual or double major.

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(City) (State) (Zip Code) (Phone) Permanent Address (If different) (Street) (Apt #) (City) (State) (Zip Code) (Phone) Georgia Department of Public Health Dietetic Internship Program Application Verify application requirements of each program to which you wish to apply. Not all programs use this form. All information must