Letter of Recommendation Request

Today's Date:
 
To: (Name of Faculty Member)
 
From: (Name of Student)
 
Telephone:
 
Earliest Deadline for Letter:
 

In order to write a good letter of recommendation for you, it is important for faculty members to have the following information.

Career Goals:
 
Programs for which you are applying (if applicable) (e.g. Counseling Psych, Experimental - Social):
 
Degree Program for which you are applying (if applicable) (e.g. Master’s, Ph.D., Psy.D.):
 
Are you applying for an assistantship?:
Courses with this teacher:
1.
 
2.
 
3.
 
4.
 
Semester and Year:
1.
 
2.
 
3.
 
4.
 
Grade:
1.
 
2.
 
3.
 
4.
 
Titles of Research Papers or Special Projects:
1.
 
2.
 
3.
 
4.
 
Independent Research not mentioned above:
 
Attendance and/or Presentations at Conferences (give names and dates of conferences along with titles of presentations and any awards):
 
Involvement in Psychology Club and/or Psi-Chi:
 
Campus or Community Activities:
 
Career Relevant Volunteer and/or Work Experiences (e.g. leading support group, working at Ozark with adolescents):
 
Were you a Freshman Orientation Leader or have you had Teacher Practicum experience?:
 
Honors and/or Awards ( e.g. Omicron Delta Kappa, Regent’s Scholarship):
 
Anything else I should know about you?:
 

(Optional) GRE Scores (especially useful if they are low and need some “damage control”):

Verbal:
 
Quantitative:
 
Analytical:
 
Subject Test:
 
Click Finish to submit