Request For Counselor Letter Of Recommendation Form Page 2

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UHS-STUDENT INFORMATION FORM FOR COUNSELOR LETTERS OF RECOMMENDATION
If you need a letter of recommendation from your counselor for your college application, a scholarship program, or
some other activity, you need to complete the following requirements. The counselor writing your recommendation
wants to write a strong letter on your behalf, so it’s very important that you complete the form thoroughly. You will
need to type your responses in a separate word document.
REQUIREMENTS FOR LETTER OF RECOMMENDATION
1. *PARENT, GUARDIAN OR MENTOR: Please write a statement about your student’s strengths and uniqueness,
using specific examples and personal anecdotes.
2. STUDENT: Write a statement about your strengths and uniqueness, being sure to use personal experience to
illustrate ideas. (Or include copy of your college essay).
3. STUDENT: Answer the following questions carefully and include as much information as possible. Type all
responses on a separate word document (there is no page limit). The style and form of these statements are
not of great importance, but the content, quality, and specific examples are. Be as comprehensive as possible.
Your recommender will appreciate the information and will be able to write a stronger letter on your behalf.
4. STUDENT: Return parent statement, student statement and completed form to the counselor at least one month
before recommendation is needed/due.
5. INCLUDE THE FOLLOWING:
a. Any information regarding the institution, scholarship or program you need a letter for.
b. Activities section or detailed resume.
c. Provide a stamped envelope with proper address, if the letter needs to be mailed directly.
*Remember to thank your counselor for writing your recommendation*
PERSONAL DATA SECTION
(Please type everything below in a separate word document)
1. Full Legal Name
2. Parent’s Name
3. Student Email Address
4. List colleges where you are applying for admission (if applicable)
5. What subjects are you considering for your college major?
6. What Career are you considering?
7. What experience have you had in this career field?
8. What are your best subjects? Why? Use specific examples of depth of understanding in class work and problem
solving.
9. What are your most difficult subjects? Why?
10. Briefly describe a hardship or difficult problem you’ve overcome, and how you handled it.
11. Briefly discuss leadership skills you possess, organizational skills you used in a project, or skills you possess that
others have noted about you.
12. What are your hobbies or special interests? What experiences do have in 1-2 of these?
13. List five words you would use to describe yourself. Explain at least 2 of them.
PLEASE ANSWER THE FOLLOW QUESTION ON A SEPARATE SHEET OF PAPER
(It can be the same sheet as your listed activities).
1. What special talents do you possess? (music, sports, etc.) How have you demonstrated them?
2. List three (3) or more teachers you know best.
3. Which teachers are writing letters of recommendation for you?
4. Please note any additional information that may be helpful in writing your letter of recommendation.

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