Academic / Scholarship Recommendation Request Form printable pdf download

Academic / Scholarship Recommendation Request

Student name:

Letter to be written by ________________________ (individual) on or before ___________ (date).

The letter of recommendation is for (check one):

_____ College admission

_____ Scholarship*

_____ Other:

* List any special personal or family circumstances that have caused financial difficulty: ________

________________________________________________________________________________

Please identify the individual, group or name of committee to receive the letter: _______________

_______________________________________________________________________________

The letter should be returned to Mrs. Sarah Jimenez in the College Counseling Office.

Any questions should be directed to the student’s counselor. Please consider the suggestions

provided on the reverse side of this form.

Thank you for your time and effort on behalf of this student.

Student Information

Please provide detailed information listed and provide grade when involved.

Please list five adjectives that best describe you:

1.____________

2. ____________

3. ____________

4. ____________ 5. ____________

 School related clubs, organizations, and activities: _____________________________________

________________________________________________________________________________

 Community clubs/organizations/groups, religious activities, volunteer projects, etc.: __________

________________________________________________________________________________

 Jobs or work experience: _________________________________________________________

________________________________________________________________________________

 Awards, honors, accomplishments, positions of responsibility: ___________________________

________________________________________________________________________________

(See backside.)

Academic / Scholarship Recommendation Request Form