Request For Letter Of Recommendation

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REQUEST FOR LETTER OF RECOMMENDATION
The quality of the information you provide may have a direct relation to the amount of time you give the
individual to write it and what they include in the letter. Feel free to attach a resume to the request.
Date recommendation needed – _____________allow no less than 2-3 weeks advance notice
______________________________________________________________________________
Student Name (no nicknames)
Your E-mail address
Your Phone Number
GPA______________ RANK_________ out of _______ AS OF:_________
AUTHORIZATION:
I request that (Teacher/Faculty Member) ______________________________________ provide a letter of
recommendation for my application for
□ Scholarship
□ College
□ Employment
□ Other _________________________________________
I give permission for this individual to provide any information he/she deems relevant regarding my
application.
___________________________________________ ___________________
Student Signature
Date
Specific name of application (which college, what employer, what scholarship & its requirements, etc.)
____________________________________________________________________________________
Mail to the Attention of
Name/Organization ____________________________________________________________________
Title _______________________________________________________________________________
Address _____________________________________________________________________________
City, State, Zip ________________________________________________________________________
Outcome or position you seek: (i.e. admission as journalism major, a full-time secretarial position, a
needs-based scholarship):
Your ultimate goal in life or as a result of this position/acceptance/scholarship:
( ) Career goal
( ) College major
( ) Long-range goal
( ) Other
____________________________________________________________________________________
____________________________________________________________________________________

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