ࡱ> DGC Hbjbj  DH $t88888,Hw@H88?]88f`86;"~s0KKxHHK :   WESTMONT COLLEGE Pre-Dental Committee and Composite Letter of Evaluation This form is to declare the members of your pre-dental committee, and to provide for the dental schools a composite recommendation summarizing the evaluations of each of the members. Please fill in the names and departments of the instructors you have chosen in the space below (needs to be typed), recognizing that you should have at least four additional members, and usually not more than five individuals listed. Two of these members should be faculty from the Biology, Chemistry, Mathematics, or Physics Departments, one faculty member not from these areas, and one member should be a dental professional with whom you have done an internship. Note that as the pre-dental advisor, Dr. Cantrell serves ex officio as the chair of the committee. I do hereby waive any rights of access that I may possess under any federal or state law to any letter of evaluation that is supplied by any of the faculty or staff of ĻӰԺ College, and is contained in my student records as maintained by either ĻӰԺ College or any other institution to which such a letter may be sent at my request. Applicant______________________________________________________________________ Signature____________________________________________ Date Committee Member Departmental Affiliation (& college if not ĻӰԺ) Kristi Lazar Cantrell Chemistry - Chair of Committee WESTMONT COLLEGE Pre-Dental Committee and Composite Letter of Evaluation I do hereby waive any rights of access that I may possess under any federal or state law to any letter of evaluation that is supplied by any of the faculty or staff of ĻӰԺ College, and is contained in my student records as maintained by either ĻӰԺ College or any other institution to which such a letter may be sent at my request. 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