REQUEST FOR LETTER OF RECOMMENDATION
This form must be submitted at least two weeks prior to the date your letter is needed.

Name:

Semester / Classes you took with me:

                                                                       Grade:           

                                                                       Grade:          

                                                                       Grade:          

Other than your grade, describe the work you did in my class that you believe would justify recommendation.

Recipient of this letter:

Purpose of this recommendation (scholarship, admissions, etc.)

Current college status:            Freshman         Sophomore        Junior         Senior

Major field of study:

Plans for the future:

Other information you wish to provide (you may also use the back of this page):