Reference Letter Request Form: Professor __________, English Department
Dear students: We usually write references for people who’ve performed well in our classes and/or
excelled at completing projects under our direction. Positive interactions and superb performance are
key. If you feel I’d be a suitable reference for you: (1) please ask me at least three ~ 3~ weeks in advance
of the deadline so I can write the best possible reference for you;
(2) please fill out this form (electronic or print) & attach relevant documents;
(3) please e-mail or place completed materials in my department box.
Your name:
Student ID#:
Campus Box:
E-mail:
Major:
GPA:
Preferred Phone#:
Today’s Date (Mo/Day/Yr):
Reference Letter Deadline (Mo / Day / Yr):
Do wish you to waive or retain your access to the letter? __ Waive __ Retain
Note: To learn more about the pros/cons of waiving or retaining, refer to this helpful site from Cornell University:
1. Please describe your goals:
2. Specific courses you’ve taken that you’d like me to mention in your letter:
3. Academic, professional, and extracurricular experiences:
4. Other specific information you’d like me to highlight in your letter:
Please list addresses and deadlines for each letter request. Use additional pages if necessary.
Appropriate Salutation
:
(To the Admissions Committee, Dear Prof. Urquhart, To Sir or Madam, etc.)
Name of University, Institution, or Employer:
Address:
Please check one of the following:
__ University or employer will contact professor by e-mail about submitting an on-line reference.
__ Professor should mail a paper copy of the letter to the above address.*
__ Professor should use the attached ref. form & mail a paper copy to the above address.*
*
Please provide a stamped, addressed envelope.
Every good and perfect gift is from above, coming down from the Father of the heavenly lights,
who does not change like shifting shadows. (NIV, James 1.17)