Teacher Recognition Program
University of California, Irvine
Dear New Anteater:
Before you begin your academic career at UCI, we would like your assistance to say "thank you"
to the high school teacher or counselor who made the most significant contribution to your
education or who most inspired you to achieve academic excellence. The individual you
recognize will receive a personal letter, mailed in the fall, from UCI's Dean of Undergraduate
Education thanking him or her for making this significant contribution to your education.
If you would like to recognize such a person, please provide us with the following information:
Salutation (please circle one):
Ms.
Miss
Mrs.
Dr.
Mr.
Name of Teacher or Counselor: _________________________________________
Position (check one): _____ Teacher _____Counselor
Academic Area (Teachers only): _________________________________________
High School Name: ___________________________________________________
High School Location (City/State): _______________________________________
Your Name: _________________________________________________________
Your UCI Student ID Number: __________________________________________
Your UCI School or Major: _____________________________________________
Specify comments that we might include in the letter (optional):
Thank you! Please return this form to:
Teacher Recognition Program
UCI Academic Testing Center
3040 AIRB
Irvine, CA 926974425
You may also respond by faxing it to us at (949) 8243832.