Request Form For Letter Of Recommendation

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Request Form for Letter of Recommendation
(Please print type)
 Please submit all requests to me a minimum of 4 weeks before the first recommendation is due. The sooner the
better!!! Less than 4 weeks may result in me not being able to write your recommendation.
 Please be sure to include all requested information. Failure to do so may result in the recommendation not being
done in time. Thank you
Name on application(s)______________________________
Name you went by in class if different_________________
Home address _______________________________________________________
__________________________________________________________________
Home phone ______________________
Cell Phone_________________________
Email ___________________________
Current schedule
Period
Subject
Teacher
You were a member of my class for what subject(s)? Fill in table below.
Subject
School year
Period
Sem1
Sem2
Project
grade
grade
Describe an interesting, funny, or memorable event, lesson, or activity that took place while you
were a student in my class.

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