Letters of Recommendation

Many faculty members are asked

to write letters of recommendation for students.

Below is the form that counselors ask students

to complete prior to asking for a letter.

Counselors have copies available for students

and encourage students

to allow at LEAST a week’s lead time.

Instructions:

● Complete this form as accurately as possible

in order to supply the most appropriate and adequate information

to prepare your recommendation for colleges, scholarships,

or employment opportunities.

● If needed, request your transcript from the Counseling Secretary

by completing the available form.

Transcripts are printed only on Wednesdays and Fridays.

● Please provide an addressed and stamped envelope

if you need your recommendation mailed directly

to a specific person, employer, or college.

Student Name: _______________________________ Student ID Number: __________

SAT I Scores: Critical Reading: __________ Math: ___________ Writing: ___________

Test Date(s): _____________________

SAT II Scores: Subject: _____________ Score: ________ Test Date: ____________

Subject: _____________ Score: ________ Test Date: ____________

ACT Scores: Composite: ___________ Test Date: ______________

Cumulative GPA (Honors Weighted): ____________

List four teachers or staff members who know you well:

1. ____________________________________ 2. ____________________________________

2. ____________________________________ 4. ____________________________________

Specifically describe your future college/career plans:

______________________________________________________________________________

List advanced courses you are currently studying and those you have completed (i.e., AP, Honors

courses, and college courses): ____________________________________________________

______________________________________________________________________________

List clubs, sports, student leadership participation, and/or any extracurricular activities, and the

dates of participation: ____________________________________________________________

________________________________________________________________________________

________________________________________________________________________

(Please complete other side)

List any awards, certificates, special recognitions, and/or honors you have received, including those

from school, community, extracurricular activities:

___________________________________________________________________________________

__________________________________________________________

Describe community service activities and/or volunteer service activities and dates of participation:

__________________________________________________________________________________

__________________________________________________

Describe work experience and/or current employment: _____________________________________

__________________________________________________________________________________

__________________________________________________________

Discuss your personal and professional goals, (include short range and long range plans):

__________________________________________________________________________________

__________________________________________________________

Explain anything special or unique about you or your situation that you would like mentioned in your

letter of recommendation. _____________________________________________________________

___________________________________________________________________________________

_________________________________________________

For recommender’s use only:

Date of request: _________________ Date completed: ________________

Staff consulted: ________________________________________________________________

Recommendations sent to: _______________________________________________________

_______________________________________________________

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Last modified: 07/27/11