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Letter of Recommendation Request Form (Mia Zamora, PhD)
To request a letter of recommendation, please fill out this form with as much information as can be provided.
Contact Information
Your Name *
If your legal name differs from your preferred name, please indicate which name you would like me to use.
Your answer
Preferred Gender Pronouns:
Email Address: *
Your answer
Have I submitted a recommendation letter for you in the past?
If yes, please provide the context and year of the prior recommendation.
Your answer
About the Recommendation
What are you applying for? *
Scholarship, Academic Degree Program, Employment Position, Internship, Study Abroad, etc.
Your answer
Deadline for the letter(s) to be received: *
If there are multiple deadlines, please enter the earliest one.
Your answer
Should the letter(s) be sent to multiple recipients? *
How should the letter(s) be submitted? *
Are there any paper forms to be completed? *
If yes, please clearly indicate how these forms will get to me (i.e., dropped off in my office or in my department mailbox, or mailed to me through the postal service, etc.)
Your answer
Letter submission details:
Please provide any additional details or information that will be needed to submit my letter(s). If you have a long list of programs or addresses, please feel free to submit a link to a Google document.
Your answer
About You
List all the courses you have taken with me. *
Please provide: the course name, the course section, the year taken, and the final grade received.
Your answer
Please provide two examples of your demonstrated academic excellence. *
You can describe your contributions to a particular class discussion or you can explain how a course assignment or project has affected the way you consider or approach your research inquiries. Please, be as specific as you would like.
Your answer
Please, share a copy of your resume/CV with me through Google Drive. *
Your answer
If applicable, please share with me a copy of the personal statement or cover letter that will be submitted with the application through Google Drive.
Your answer
Why are you pursuing this opportunity and what strengths, experience, and/or qualifications do you bring to it? *
Your answer
If it has been over a year since you last took a course with me, please fill me in on what you have been doing since the last time we saw each other.
Your answer
Please, feel free to share with me any additional information you believe is important or that I should know.
Are there any specific skills or kinds of experience I have observed that you would like me to emphasize? Is there any perspective I can provide that other letter writers may not be able to provide?
Your answer
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