Letter Of Recommendation Request Form

Letter of Recommendation Request Form

NOTE: Requests for letters of recommendation require one week’s advance

notice.

Student’s full name:

Recommendation requested from:

Check one:

Teacher

Counselor

Employer

Administrator

Other

Date requested:

Date needed:

Check whichever request applies:

Recommendation letter to be mailed to the following address: (provide Complete

name, address AND a stamped envelope)

CITY:

STATE:

ZIP:

Recommendation letter to be returned to student.

Please provide the following information:

Future career goals:

Post – secondary plans (be specific):

What accomplishment(s) are you most proud of in the following areas?

*Academics:

*Personal:

*School/Community Service:

List 5 adjectives you feel best describe you as a person:

Have there been (or are there now) any circumstances or adversity that you believe

have had an impact on your academic performance? If yes, please explain:

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Parent category: Letters