Aspiring Leaders Score Form ScorerRajesh AggarwalHari NathanRebecca SippelApplicantAlexander C AlloriAmanda Kathleen ArringtonFaisal AzizSyamal Dave BhattacharyaStephanie Lynn BonneBrian Thomas BucherChun (Dan) W. ChoiDaniel I ChuJayer ChungHannah CopelandJeremiah Lee Dene eChristopher Garnet DuCoinGrant Thomas FankhauserKristalyn K GallagherCourtney Elizabeth GibsonJohn Andrew HarvinAndrew W HoelKamran IdreesSrinivas Joga IvaturyImran JavedDavid Lyle JoyceXavier M KeutgenAli KhalifehMelissa LazarCarter LebaresCheong Jun LeeOveys MansuriColin Alex MartinAntonio MasiNader Nabile MassarwehMatthew A. NehsErika Adams NewmanSabrena Farokh NoriaFrancesco PalazzoPriti P. ParikhDhaval T PatelMayur B. PatelAllan Byron PeetzCarrie Yvonne PetersonErika Lu RangelDino Joseph RavnicRebecca Warner SchrollSamir Kaushik ShahSohail R. ShahLawrence Andrew ShirleyJesse Joshua SmithTze-Woei TanVictor M ZaydfudimAcademic RankReview the applicant's current academic status and check the appropriate box below: Assistant Professor (10 points) Associate Professor (5 points) Full Professor (1 point) Grant FundingReview the applicant's grant funding and check the box below that represents the highest level of funding received. PI, NIH R01 (10 points) PI, R01 (non-NIH, equivalent) (8 points) K08 or K23 (5 points) PI, other NIH/AHRQ/PCORI (3 points) Co-I with effort (R01 or equivalent) (1 point) Society or Foundation grant (1 point) Publications (peer-reviewed) over 30 publications (10 points) 21-30 publications (5 points) 11-20 publciations (3 points) 5-10 publications (1 point) Please review the applicant's publication list and check the appropriate box below:Committee Membership 1 International Committee (8 points) National Committee (5 points) Regional Committee (3 points) Institutional Committee (1 point) Review the applicant's committee experience and check the box below that indicates the highest level of committee participation.Committee Membership 2 Yes (2 points) No (0 points) Did the applicant serve as chair of a committee at any point?External RecognitionCheck all that apply below: Invited Speaker (5 points) National Award recipient (5 points) Essay ScoresPlease read the applicants long-answer essays and score them below, 20=strong and 2=weak:2468101214161820CareerLeader ExpStrength & WeaknessLetter of Support from Dept Chair(Required)Please read the letter of support for the applicant from the Department Chair and score it below, 10=strong and 1=weak12345678910Chair's LetterSecond Letter of Support(Required)Please read the 2nd submitted letter of support for the applicant and score it below, 5=strong and 1=weak123452nd LetterAdditional CommentsPlease use this area for any other thoughts or opinions you wish to share about the applicant Share this: Click to share on X (Opens in new window) X Click to share on Facebook (Opens in new window) Facebook Click to share on LinkedIn (Opens in new window) LinkedIn Click to print (Opens in new window) Print
