Letter Of Recommendation Request Form Page 2

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Please list any outside hobbies/activities/interests you have and/or are involved in
that can be included in the letter.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Write a short general statement about yourself (including your strengths) that will
help in writing your letter. What sets you apart from many other students? Be as
specific as possible; “I am a hard worker” is not helpful.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Please choose which teacher(s) you would prefer to write your letter (based on
purpose of letter or teacher-student relationship).
Teacher Name: ______________________________________________________
Teacher Name: ______________________________________________________
Teacher Name: ______________________________________________________
Teacher Name: ______________________________________________________
Teacher Name: ______________________________________________________
Finally, if there are any specific instructions regarding the recommendation letter (ex: must
be sent directly to college/university), please list them below. Be sure to include any
appropriate addresses/contacts to include.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

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