Request For Letter Of Recommendation

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For Mail, E-Mail or Fax
REQUEST FOR LETTER OF RECOMMENDATION
Last Name
First Name
MI
Student Identification Number: @
UTSA Email:
MY RESUME:
IS ATTACHED
WILL BE SUBMITTED TO YOU
NOTE:
Your letter will be MUCH stronger if you attach a resume or provide information on your current extra-curricular
activities.
Date Submitted to the Honors College
Application Deadline
(or earliest deadline, if a multiple listing is attached)
Name of Institution receiving the recommendation (as shown on the application and/or recommendation form)
Address:
Street
City
State
Zip Code
Phone Number (xxx) xxx-xxxx
Contact Name (if applicable) Note: You may list more than one
The following forms are attached to this request:
Recommendation form
Envelope
NOTE:
If you are required to submit an essay with your application, please attach a copy or draft copy of that essay.
Additional Copies of Letter Required: No
Number of Copies:
PLEASE:
Mail to Address
Provided
Name:
Fax This Form to:
Fax Number:
E-mail address:
E-mail This Form to:
Recipient
Number (xxx) xxx-xxxx
I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO ALLOW A MINIMUM OF 10 WORKING DAYS BETWEEN THE
TIME OF REQUEST AND DEADLINE STATED ON INSTITUTION’S APPLICATION.
I UNDERSTAND THAT MY
RECOMMENDATION LETTER WILL BE DELAYED IF I DO NOT PROVIDE ALL MATERIALS IN A TIMELY FASHION
TO THE HONORS COLLEGE OFFICE.
The Family Educational Right and Privacy Act (FERPA) states that information from an educational record or
student file, such as the student’s rank or grade in a course, etc. must not be disclosed without the explicit
written consent from the student. As the requestor of this recommendation letter, I
, (please type your full
name) give my written consent to Dr. Ann Eisenberg to use any information in my student file that is necessary in
the composition of the requested letter.
Signature
Date
For Mail, E-mail, or Fax

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