Letter of Reference Request for Dr. Malott**you must indicate that you “waive your right” to access to the letter on relev...
Upcoming SlideShare
Loading in …5
×

LOR Request Form

294 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
294
On SlideShare
0
From Embeds
0
Number of Embeds
59
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

LOR Request Form

  1. 1. Letter of Reference 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 / 2ndMajor: Minor/2ndMajor 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.)?________________________________________________________ Research projects in which youve been involved:________________________________________________________________________________________________________________________________________________________________ Honors youve received from the psychology department or university:____________________________________________________________________________________________________________________________________________Malott PSY Course Semester Year T.A. Name Grade3600/1000HSuper A A4600BSAP/Super P3570 Regular3570 Intermediate3570 Advanced3980: BRSS4990: BRSSGrad/GRE PrepSelf-MgmtPre-PracticumCreate a zipped folder with thefollowing and send toJennifer.L.Mrljak@wmich.edu: Photo of yourself Copy of WMU transcript (may beunofficial) Resume/curriculum vita (CV) Personal statement This form Any additional forms (ifapplicable)Include a file folder or envelope withthe following: Forms (if applicable), completeincluding your signature Addressed envelopes forletters/forms (USE 2 STAMPS) An optional, self-addressed,stamped postcard we’ll mail toyou when your letters have beensentTurn in to: Graduate mailbox “M” in PsychDept. (Wood Hall, 3rdfloor) Mailbox “Jennifer Mrljak” or doorbox in BATS lab (Wood Hall,room 2536) Mail to: 7535 Timbercreek Ct. #4Portage, MI 49024**Please e-mailJennifer.L.Mrljak@wmich.edu tonotify that materials are completeand have been turned in.Please allow 4-6 weeks forcompletion!

×