Request For Letter Of Recommendation Form

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REQUEST FOR LETTER OF RECOMMENDATION
STUDENT NAME _____________________________________________
PHONE _______________
EMAIL _________________________________________________________________________________
 to include with a college application
I am requesting a letter:
 to include with a scholarship application
 to place in my scholarship portfolio
 (other) _____________________________
I need this letter by:
____/____/____ (Allow at least two weeks for completion of request)
 return to student (please provide _____ copies)
Upon completion, please:
 mail in enclosed envelope (addressed and stamped)
…………………………………………………………………………………………………………………………………
Instructions to the Student: To better evaluate you, fill out this form with your information to assist the person from
whom you are requesting a recommendation letter. You may attach additional information to this form. Always
remember to thank your recommender in writing! He/she will take the time and effort to create this letter, so it is
important that you take the time to show your appreciation.
Instructions to the Recommender: The best letters of recommendation bring a student to life by sharing specific
examples or stories, instead of just summarizing the resume. This form is only to spark ideas about the student.
…………………………………………………………………………………………………………………………………
ACADEMICS
Weighted GPA _______
SAT Composite _________
Class Rank _____/_____
ACT Composite _________
Intended College Major(s)
____________________________________________________
Long Range Career Plans
____________________________________________________
…………………………………………………………………………………………………………………………………
WHAT MAKES YOU UNIQUE?
What do you consider to be your strengths as a person and as a student?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
What special interests do you have? Hobbies? Talents?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

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