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Recommendation Request Form*
(Please fill out completely and attach any necessary additional paperwork.)
1. Name: ________________________________________________________________________
2. Address: ______________________________________________________________________
3. Phone & e-mail: ________________________________________________________________
4. How long has the recommender known you? __________ In what capacity? ________________
5. Courses taken with the recommender:
a. Course_____________________Semester and year_____________ Grade _____
b. Course_____________________Semester and year_____________ Grade _____
c. Course_____________________Semester and year_____________ Grade _____
Did you have to repeat any courses? _____yes ______no If yes, rationale/explanation.
_____________________________________________________________________________________
6. Current GPA: _____________ Major GPA __________
7. Outstanding characteristics or accomplishments:
____________________________________________________________________________________________
____________________________________________________________________________________________
8. Purpose of letter ________________________________________________________________________
9. Person to whom the letter should be addressed and address ______________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
10. Date letter is due: __________________
11. Method of submission: __________Give to student __________Mail to program.
12. Attach:
a.  Recommendation forms provided by the program or complete information regarding what the
recommendation is for, i.e., graduate school, employment, scholarship
b.  Current resume
c.  Complete address for the program
d.  Personal statement
e.  Stamped envelope (if needed)
f.  Signed waiver
g.  Copy of current transcripts
* This form must be completed and returned at least three weeks (excluding holidays and final exam weeks) before
the letter is needed.

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Recommendation Request Form for Students

  • 1. Recommendation Request Form* (Please fill out completely and attach any necessary additional paperwork.) 1. Name: ________________________________________________________________________ 2. Address: ______________________________________________________________________ 3. Phone & e-mail: ________________________________________________________________ 4. How long has the recommender known you? __________ In what capacity? ________________ 5. Courses taken with the recommender: a. Course_____________________Semester and year_____________ Grade _____ b. Course_____________________Semester and year_____________ Grade _____ c. Course_____________________Semester and year_____________ Grade _____ Did you have to repeat any courses? _____yes ______no If yes, rationale/explanation. _____________________________________________________________________________________ 6. Current GPA: _____________ Major GPA __________ 7. Outstanding characteristics or accomplishments: ____________________________________________________________________________________________ ____________________________________________________________________________________________ 8. Purpose of letter ________________________________________________________________________ 9. Person to whom the letter should be addressed and address ______________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 10. Date letter is due: __________________ 11. Method of submission: __________Give to student __________Mail to program. 12. Attach: a.  Recommendation forms provided by the program or complete information regarding what the recommendation is for, i.e., graduate school, employment, scholarship b.  Current resume c.  Complete address for the program d.  Personal statement e.  Stamped envelope (if needed) f.  Signed waiver g.  Copy of current transcripts * This form must be completed and returned at least three weeks (excluding holidays and final exam weeks) before the letter is needed.