1. This evaluation form must be completed by three professors with whom you have taken courses (two of them must be from a science or math professor and one from any other professor). A maximum of five (5) letters of recommendation from proffessors are allowed. The three (3) letters with the highest scores will be considered.
2. In extraordinary cases in which a candidate is not enrolled in any course and/or has been in the work environment for two to three years, at least one letter should be from a professor, and the other two may be from employers. If the candidate has more than three years in the workplace and is not an active student, the three letters will be accepted from employers. If you have worked in more than one place, letters of recommendation from jobs related to health or science are preferable.
3. Letters of recommendation from Pre-medical or Pre-professional Committees will not be accepted.

1. Only this form must be used to evaluate the applicant. Personal letters are not accepted through this link.
2. The student should be interviewed by the evaluator before completing the evaluation form.
3. Please fill in all the blanks and table spaces in the form. FIVE (5) OR MORE SPACES LEFT BLANK OR MARKED AS “NO BASIS FOR JUDGMENT” ON ITEM 5 (TABLE) WILL INVALIDATE THE EVALUATION.
4. Before filling out the evaluation form, be sure that the waiver is signed by the applicant.
5. The evaluation must be submitted before December 1st, which is the absolute deadline. Letters received after this date will not be considered.

Last four number of SS:

Father's last name:

Mother's last name:

Name:

The Family Educational Rights and Privacy Act (20 United States Code 1252 (g)) provides that each applicant will have the right of access to his or her letters of recommendation. Check one below and sign the appropriate statement:

I hereby waive my right of access to the information provided in this evaluation. By waiving this right of access, I understand that this completed form will be held in confidence by the University of Puerto Rico.

I do not waive my right of access to this evaluation.

E-mail

Please fill out at least 3 evaluator/recommender name and email address. Your evaluator/recommender will receive and email with instructions to complete the evaluator/recommender part of this form.

Name:

Last name:

Email:

Name:

Last name:

Email:

Name:

Last name:

Email:

Name:

Last name:

Email:

Name:

Last name:

Email:

If you are admitted to the School of Medicine at the University of Puerto Rico, you would have the right as an enrolled student to review your permanent record, including the evaluations of your instructors, on file at the School of Medicine Students Affairs Office. Some professors prefer not to complete the recommendation forms or letters unless they can be assured of the confidentiality of their comments. It is our opinion that comments provided on a confidential basis are likely to be more meaningful. Therefore, the School of Medicine is granting you the opportunity to waive your right of later access to this applicant’s evaluation form.

In any event, your application form admission and/or financial support will be given full consideration based on all the information accumulated in your application file, including the evaluation, regardless of your decision to waive your right of future review.

Please sign this statement before requesting each of your professors to complete a recomendation form to the School of Medicine.

I do waive my right of subsequent access to the evaluation.

I do not waive my right of subsequent access to the evaluation.

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