Recommendation Letter Request Form
Recommendation letters take (a lot of) time! Please be specific and thoughtful in answering the following questions so that I may more effectively and efficiently serve your needs. Please carefully read the following before proceeding.

- I do not write recommendation letters over any scheduled break longer than a three day weekend. (holidays, summer, etc.) Requests that are made during this time will be pushed back until after the break.

- Because almost all applications are now completely electronic, I will not start a requested letter until I receive the electronic link to submit it. This ensures that I include the specific information required by the school or program you are applying to.

- If your application is not electronic, you must provide me with a stamped, addressed envelope. I will not e-mail you a recommendation letter unless you verify that it is necessary for your application process in person.

Name: *
Your answer
E-mail address: *
Your answer
Today's date: *
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Deadline you need your letter by: *
Your deadline must be at least THREE WEEKS from today's date.
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Current grade: *
Year you were my student: *
Required
Title of course I taught: (or organization I sponsored) *
Required
What is this letter for? *
Be very specific. If this is a letter for general scholarships, state that. If this is for a specific college or program, be sure to include their information and any letter requirements. Please include both the name and address of the recipient if relevant.
Your answer
Why should I write you a recommendation letter? *
Be thoughtful and discuss specific examples. How did you set yourself apart in my classroom? How would I remember you in ten years?
Your answer
Please list any academic accomplishments that can be included in the letter. *
Your answer
Please list any extracurricular activities you are involved with either in school, your community, or at home (example: athletics and clubs). *
Your answer
Please list any outside hobbies/activities/interests you have and/or are involved in that can be included in the letter. *
Your answer
How will I submit your recommendation letter? *
Use the "Other" box if needed. You must provide an addressed, stamped envelope if you would like me to mail a letter directly to any recipient.
Is there anything else I should know?
Your answer
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