Letter of Recommendation Request Form
Please provide as much detail as possible. Additionally, send your Resume and/or Curriculum Vitae for reference to ghpadvising@ucsd.edu
Full Name: *
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Graduating Year: *
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Major: *
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Minor: *
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Email Address (UCSD email if current student): *
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Who are you requesting a letter from? *
Date you will need the letter by: *
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Purpose of Letter *
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Please list where you will be applying (Include school and program) *
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How does the letter(s) need to be submitted? *
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Where to send the letter:
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In what capacity have you worked with the letter writer? *
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How long have you known the letter writer? *
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What personal/academic qualities would you like to be emphasized in the letter? *
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List four adjectives or phrases that describe you and explain why: *
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What do you feel is your most significant accomplishment? *
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Give two examples of comments that you believe a professor would make about you: *
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Please give a brief statement describing your Field Experience (Global Health students only):
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Global Health Majors - what was the title of your senior thesis?
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Global Health Majors - please paste your senior thesis abstract:
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Statement about career goals and/or graduate schools you are considering: *
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Explain what you are passionate about (academically or personally): *
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Explain a time when you showed leadership ability: *
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Name a special talent and how you have used your talent to contribute to the benefit of others:
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Other relevant personal information or special circumstances. Check all that apply:
Explanation of any of the above checked boxes:
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What do you see yourself doing in 5 years? *
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