Letter of Recommendation Request Form (Dr. Alex Ketchum)
Please fill this out only after you have made a formal request via email.
Sign in to Google to save your progress. Learn more
Email *
Your Name (If your legal and preferred names differ, please indicate the name you would like me to use in the recommendation) *
Your Pronouns *
Email address *
Have I submitted a recommendation for you in the past? *
What are you applying for? (example: Academic degree programs, employment, study abroad, scholarships, etc) *
Deadline for letters to be received (If multiple deadlines, enter earliest date.) *
MM
/
DD
/
YYYY
Should letters be sent to multiple recipients? (Include information for all recipients in the "details" section below) *
How should the letter(s) be submitted? *
Are there any paper forms to be completed? (If yes, please indicate how you will get these forms to me (i.e., drop off in my office, send in the mail, etc.).) *
Letter submission details: Please provide any additional details and information that I will need to submit the letter(s). If you have a long list of programs and addresses, feel free to link to a separate Google document. *
List all courses you have taken with me. (Institution--Course Name and Number--Session and Year--Final Grade) *
Please share copies of your papers written in these courses with me through Google Drive. Provide the link to the documents below. *
Please tell me at least two examples of your demonstrated excellence in the classroom. (For example, describe your contributions to a particular class discussion or explain how an assignment for this class opened your eyes to a specific area of research or affected the way you think about a certain issue.) *
Please share a copy of your resume/CV with me through Google Drive. (Provide the link to the documents below.) *
If applicable, please share a copy of the personal statement or cover letter included with your application with me through Google Drive. Provide the link to the document below. *
Why are you pursuing this opportunity and what qualifications, strengths, or experience do you bring to it? *
If it has been more than a year since you took my course, please fill me in on what you've been doing since I last saw you. *
Feel free to share any additional information that you think is important. Is there anything in particular you want me to highlight in your application? (For example, discussing specific skills that I have observed or providing some information or perspective that other letter writers cannot. Other examples might include something that has not been highlighted in other parts of your application). *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wesleyan University. Report Abuse