Letter of Recommendation Activities Form

Recommender Name
First Last
Email to contact Recommender*
Where to send or post letter
Street Address Address Line 2 City State ZIP Code
If the letter should be emailed or posted online, please provide instructions for how to do so.
How many additional Recommenders do you need to send this information to?*
Additional Recommender (#2)
Recommender Name #2
First Last
Email to contact Recommender #2*
Where to send or post letter (#2)
Street Address Address Line 2 City State ZIP Code
If the letter should be emailed or posted online, please provide instructions for how to do so. (#2)
Additional Recommender (#3)
Recommender Name #3
First Last
Email to contact Recommender #3*
Where to send or post letter (#3)
Street Address Address Line 2 City State ZIP Code
If the letter should be emailed or posted online, please provide instructions for how to do so. (#3)
Letter Deadline*
Date Format: MM slash DD slash YYYY
About You
Student's Name*
First Last
Student's Email
Graduation Year
Date Format: MM slash DD slash YYYY
Future Goals
Activities in high school
Attach resume' if you have one
Community Service Involvment
Awards Won (Academic, honor roll, competitions, atheltics, etc.)
Educational Enrichment courses (taken outside of school)
Family Hardships (if any)
Other languages you speak/read fluently:
Self-description (What is unique about you and your story?)
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Additional Recommender (#2)