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2018-19 Fellow Evaluation Form

TITLES AND AFFILIATIONS

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* 1. Name

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* 2. Baker Institute Title

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* 3. Is your Baker Institute appointment full-time or part-time?

Full-Time

Part-time (please specify 50%, 75%, etc.)

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* 4. Other titles, positions and affiliations within Rice

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* 5. Other titles, positions and affiliations outside of Rice

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* 6. (Optional) Please describe any collaborations with individuals or groups outside of your center/program that are important for evaluating your work this year.