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Electronic LOR Request Form
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  • 1. Letter of Reference Request for Dr. Malott* *you must indicate that you “waive your right” to access to the letter on relevant forms NAME (include maiden name): EMAIL: Minor / 2nd Major: # of math courses taken: # of writing courses taken: Overall GPA: PSY GPA: Minor/2nd Major GPA: Math GPA: Writing GPA: Phone: Total GRE Score: Quantitative GRE Score: Verbal GRE Score: Analytical Writing Score: Names & deadlines of the Schools/Scholarships/Fellowships/Jobs, etc. for which you are applying (attach an extra sheet, if necessary): Additional forms to complete? Name Deadline 1) Yes No 2) Yes No 3) Yes No 4) Yes No 5) Yes No   Electronic Letter? Yes Yes Yes Yes Yes No No No No No Area of interest (e.g., Autism, DD, I/O, OBM, etc.): _____________________________________________________________ Include a file folder or large envelope with the following: Research projects in which you've been involved: _______________________________________________________________  Photo of yourself _______________________________________________________________________________________________________  Copy of WMU transcript (may be  unofficial) Honors you've received from the psychology department or university: ______________________________________________  Resume/curriculum vita (CV) ________________________________________________________________________________________________________  Personal statement   Any additional forms (if applicable) Any additional information: ________________________________________________________________________________  Forms (if applicable), complete including your signature Addressed envelopes for letters/forms (USE 2 STAMPS)  An optional, self-addressed, stamped postcard we’ll mail to you when your letters have been sent You may also create a zipped folder and send any of the materials to Jennifer.L.Mrljak@wmich.edu  Malott PSY Course Semester Year T.A. Name Grade 3600/1000H 1400 Super A 4600 3570 Regular 3570 Intermediate 3570 Advanced 3980: BRSS 4990: BRSS Grad/GRE Prep Self-Mgmt A Label folder & turn in at either:    Graduate mailbox “M” in Psych Dept. (Wood Hall, 3rd floor) Mailbox “Jennifer Mrljak” or door box in BATS lab (Wood Hall, 2536) Mail to: 7535 Timbercreek Ct. #4 Portage, MI 49024 Please allow 4-6 weeks for completion!
  • 2. Letter of Reference Request for Dr. Malott* *you must indicate that you “waive your right” to access to the letter on relevant forms Please e-mail Jennifer.L.Mrljak@wmich.edu to notify that materials are complete and have been turned in.