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  **Oak Ridge                                                                  
  National                                                                     
  Laboratory\                                                                  
  Postdoctoral                                                                 
  Research                                                                     
  Associates                                                                   
  Program\                                                                     
  **                                                                           

                                                                               

  **\                                                                          
  Reference                                                                    
  Form\                                                                        
   **                                                                          

                                                                               

                                                                               

                 **Applicant:**                                                

                                  *(Last Name)*         *(First Name)*         *(Middle Name)*

                 **How long and                                                
                 in what                                                       
                 association have                                              
                 you known the                                                 
                 applicant?**                                                  
                 *(Please                                                      
                 indicate if you                                               
                 are the                                                       
                 applicant's                                                   
                 thesis or                                                     
                 dissertation                                                  
                 advisor.)\                                                    
                 *                                                             
  -------------- ---------------- --------------------- ---------------------- -----------------

**How would you rate the applicant with respect to the following
PERSONAL CHARACTERISTICS?**

  ----------------------------- ----------- ------------- ---------- --------- --------------- ------------
                                **Below     **Average**   **Good**   **Very\   **Excellent**   **No Basis
                                Average**                            Good**                    for
                                                                                               Judgment**

  Motivation and persistence                                                                   
  toward a productive career                                                                   

  Growth during total period                                                                   
  observed                                                                                     

  Imagination and originality                                                                  
  of thought                                                                                   

  Emotional maturity and                                                                       
  stability                                                                                    

  Ability to work with others                                                                  

  Independence and                                                                             
  self-reliance                                                                                

  Leadership potential                                                                         
  ----------------------------- ----------- ------------- ---------- --------- --------------- ------------

**How would you rate the applicant with respect to the following
SCIENTIFIC CAPABILITIES?**

  ----------------------------- ----------- ------------- ---------- -------- --------------- ------------
                                **Below     **Average**   **Good**   **Very   **Excellent**   **No Basis
                                Average**                            Good**                   for
                                                                                              Judgment**

  Mastery of fundamental                                                                      
  knowledge in field                                                                          

  Skill/originality of research                                                               
  project design                                                                              

  Laboratory skill and                                                                        
  technique                                                                                   

  Productivity in research                                                                    

  Ability to communicate                                                                      
  (written/oral)                                                                              
  ----------------------------- ----------- ------------- ---------- -------- --------------- ------------

**Reference Form Page 2**

Applicant's Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Add any descriptive comments that will assist in providing a complete
picture of the applicant's abilities.**

  ------------------- -------------------- -------------------------------
  **COMMENTS:**                            

  Signature:                               Date:

  Typed/Printed Name:                      Title:

  Department:                              Institution/Organization:

  Telephone:          Fax:                 E-Mail:
  ------------------- -------------------- -------------------------------

**Mail reference to: Fax to:** (865) 576-0287

ORNL Postdoctoral Research Associates Program

Attn: Bonnie DeJarnette

ORNL, Bldg. 5100, MS 6173

P.O. Box 2008

Oak Ridge, TN 37831-6173