Letter of Recommendation Request Form
Mr. Forstbauer
Name: ____________________________________________________ Date: _____________
As your former teacher, I am available to write a letter of recommendation for you. This letter
can be sent to the colleges/universities you are applying to who require it. To assist me in
preparing this statement, please complete this questionnaire. The quality of the information
you provide is very important to me as I seek to write the best possible statement for you.
Also, please print neatly to ensure that I can read what you have written!
How it works: Fill out this request form, check in with me every now and then, proof read the
draft, finally -pick up your letter. I will try to print them on letterhead; otherwise guidance can do
it for you.
1. What class & period were you in and what was your final grade?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
2. Why are you choosing me to me to write your letter?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3. Please list any clubs that you participate in, either school or community based, and indicate if
any leadership positions were held by you in those clubs.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
4. If you have received any awards, please list them below. Be specific!
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
5. If you are employed, indicate how many hours a week you work during the school year, your
employer’s name, and your position.
______________________________________________________________________________
______________________________________________________________________________
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