Request For Reference Letter
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REQUEST FOR REFERENCE LETTER
Please return the completed form to the ____ staff member providing the reference
a minimum of 3 weeks prior to the deadline for the reference letter.
Today’s Date: _____________________________________
Date Letter is Required: _____________________________ (please allow three weeks minimum)
Legal and Preferred Name:________________________________________________________________
Student I.D. #: _____________________________________
Name, title and address of the person/organization this letter is going to:
Example: Mr. Joe Sullivan
__________________________________________________
B.C. Hydro Power Pioneers Scholarships
__________________________________________________
th
333 Dunsmuir Street, 15
Floor
__________________________________________________
Vancouver, B.C. V6B 3R5
__________________________________________________
This Letter of Reference is for:
Scholarship
Common Application
Employment
Other: _______________________________
COURSE LOAD THIS SCHOOL YEAR:
TERM 1
TERM 2
Course Name & Grade Level
Current
Course Name & Grade Level
Current
(Example: History 12)
Mark
Example: (English 12)
Mark
(72%)
(80%)
HIGH SCHOOL ACTIVITIES: (Teams, Clubs, Conferences, etc.)
School and Activity
Role
Date
No. of
(Example: Student Council)
(Ex: Secretary)
(Ex:June 2015 to June
Hours
2016)
(Ex.2hrs/wk)
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