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Letter of Recommendation Request for Dr. Malott* *you must indicate that you “waive your right” to access to the letter on relevant formsNAME (include maiden name): Overall GPA: Phone:EMAIL: PSY GPA: Total GRE Score:Minor / 2nd Major: nd Minor/2 Major GPA: Quantitative GRE Score:# of math courses taken: Math GPA: Verbal GRE Score:# of writing courses taken: Writing GPA:Names & deadlines of the Schools/Scholarships/Fellowships/Jobs, etc. for which you are applying (attach an extra sheet, if necessary): Name Deadline Add’l forms to complete? Electronic Letter?1) Yes No Yes No2) Yes No Yes No3) Yes No Yes No4) Yes No Yes No5) Yes No Yes No Area of interest (e.g., Autism, DD, I/O, OBM, etc.)?________________________________________________________ Include the following in a file folder or large envelope: Research projects in which youve been involved:________________________________________________________ Photo of yourself ________________________________________________________________________________________________________ Forms (if applicable), complete Honors youve received from the psychology department or university:____________________________________ including your signature Addressed envelopes for ________________________________________________________________________________________________________ letters/forms (USE 2 STAMPS) Copy of WMU transcript (may beMalott PSY Course Semester Year T.A. Name Grade unofficial) 3600/1000H Resume/curriculum vita (CV) Personal statement Super A A This form An optional, self-addressed, 4600 stamped postcard we’ll mail to BSAP/Super P you when your letters have been sent 3570 Regular Turn in to Emilia Knizner at either:3570 Intermediate Graduate mailbox “K” in Psyc Dept. (Wood Hall, 3rd floor)3570 Advanced Mailbox “Emilia Knizner” or door 3980: BRSS box in BATS lab (Wood Hall, room 2536) 4990: BRSS Mail to: 1523 Kingsbury Dr. Grad/GRE Prep Portage, MI 49002 Self-Mgmt Please allow 4-6 weeks for Pre-Practicum completion!Date turned in: Please e-mail Letters@DickMalott.com to notify that materials are complete & have been turned in.