Request For Letter Of Recommendation

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REQUEST FOR LETTER OF RECOMMENDATION
Directions: FILL OUT THIS FORM AND SUBMIT IT TO THE TEACHER AT LEAST 10 DAYS PRIOR TO
THE DATE NEEDED.
PROVIDE THE TEACHER AN ENVELOPE IN WHICH TO SEAL IT COMPLETED
TELL THE TEACHER YOU WILL RETURN TO PICK UP THE LETTER.
Recommending Teacher _______________________________________
Date____________ Date needed__________
Student’s Name __________________________________________________________
First
Middle
Last
Purpose of the letter (admission, scholarship, etc.):
Name and address of individual and/or institution to which letter is to be addressed:
Approximate GPA: _______ Approximate Class Rank: _________
SAT or ACT Score: _______
List clubs, activities, and offices held: _________________________________________
List outside activities that could be included in the letter (church activities, jobs):
What school activity has been most meaningful to you and why?

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