IBSC Predoctoral (Ph.D.) Training Program Applicant Evaluation Worksheet – Institute for the Biology of Stem Cells at UC Santa Cruz

For Predoctoral (Ph.D.) Applicants

The form below is designed to be used by the External Selection Committee associated with IBSC’s CIRM Predoctoral (Ph.D.) Training Program. Questions specific to the CIRM Predoctoral Training Program are displayed below, and this form can be used for up to ten (10) applications. If you have any questions regarding this form or have any issues, please contact the IBSC.

Contact the IBSC

IBSC Predoctoral Applicant Evaluation Worksheet

Date of Review *

Reviewer Name *

Reviewer Name

First

Last

Instructions

Please evaluate the applicant on the following 5-point scale:

Outstanding
Very Good
Good
Adequate
Needs Improvement

Please base your evaluation(s) on the Application/CV; Applicant Statements; and Letters of Recommendation including the Sponsoring Mentor Form.

Number of Applications Evaluated *

Applicant 01

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 02

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 03

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 04

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 05

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 06

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 07

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 08

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 09

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant 10

Applicant Name *

Applicant Name

First

Last

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

1= Outstanding; 5 = Needs Improvement

Ability to work independently and take initiative to problem soleve *

1 = Outstanding; 5 = Needs Improvement

Ability to work in a team *

Outstanding; 5 = Needs Improvement

Time management skills and ability to finish tasks *

1 = Outstanding; 5 = Needs Improvement

Verbal Communication skills *

1 = Outstanding; 5 = Needs Improvement

Written Communication skills *

1 = Outstanding; 5 = Needs Improvement

6. Research ability and potential to develop an independent career *

1 = Outstanding; 5 = Needs Improvement

Mentoring and Outreach

1= Outstanding; 5 = Needs Improvement

Evidence that applicant has promoted, or has a strong interest in promoting, inclusive access to scientific knowledge *

Note: A score of 1 will likely require both a track record and future commitment to inclusive access, while past OR future inclusiveness may be scored as a 2 or worse

Evidence that applicant has promoted, or has a strong interest in promoting, scientific knowledge (outreach or other activities) *

Note: A score of 1 will likely require both a track record and future commitment to outreach, while past OR future outreach may be scored as a 2 or worse

Training Environment

1= Outstanding; 5 = Needs Improvement

Mentoring plan is well tailored to maximize the applicant's training (i.e. demonstrates knowledge of the applicant) *

1 = Outstanding; 5 = Needs Improvement

Mentor has received mentoring training *

Yes

Mentor has plans to receive additional mentoring training *

Yes

Research Proposal

Please note that the Research proposal does NOT need to be specifically related to stem cell research but should be aligned with CIRM research priorities

Research proposal is well thought out and researched *

1 = Outstanding; 5 = Needs Improvement

Research proposal is feasible for the applicant given the mentor, resources and research environment *

1 = Outstanding; 5 = Needs Improvement

Significance and/or potential impact of proposed research is well articulated and substantiated *

1 = Outstanding; 5 = Needs Improvement

Driving Strengths and Weaknesses

Please state the biggest score driving strength and weakness of the application (i.e. one strength and one weakness) *

0 of 150 max words

Applicant Ranking

Please rank the Applicants evaluated above in order of strength of application, regardless of program applied *

0 of 150 max words

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For Predoctoral (Ph.D.) Applicants

Instructions

Applicant 01 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 02 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 03 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 04 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 05 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 06 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 07 arrowup3

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CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 08 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 09 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Research Proposal

Driving Strengths and Weaknesses

Applicant 10 arrowup3

Program(s) Applied

CIRM Predoctoral (Ph.D.)

Research Experience

Mentoring and Outreach

Training Environment

Applicant 01

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