Medical University of South Carolina
College of Medicine
Letter of Recommendation Request Form
N
ame _________________________________________________________ Email ____________________________
*
Please attach a current curriculum vitae and any other relevant application information
LETTER OF RECOMMENDATION DUE BY: _____________________________
*Expect a twothree week turnaround time for completion
Letter of Recommendation for:
Dual‐Degree
Program
Scholarship
Fellowship
Transfer to another medical school
National student organizatio
n position
Other ________________________
Address the Letter of Recommendation to the following:
School/Program Attention _____________________________________________________________________
Address __________________________________________________________________________________________
S
pecial Instructions _____________________________________________________________________________
Upon completion of the letter:
Please call me when the letter is ready
to be picked up at (_____) ____________________
Please fax to (_____) ____________________
Please email the letter to ____________________ @ __________. ________
Please mail the letter in the addressed and stamped envelope that I provided.
_______________________________________________________ _____________
__________
Student Signature
Date