TO:

FROM:

Thank you for taking the time to write me a letter of recommendation. I have prepared a reference sheet to assist you in writing the letter.

Application for: _____________________ Date reference letter is due _____________

I. I took your _________________(class) in _________________(semester/year) and received ____________(grade).

My Major ________________ My overall GPA _________ My GPA in my major __________

Key reasons I chose this major_____________________________________

II. Classes that I have taken that are relevant to my application:
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________

III. Awards, Honors, Scholarships ____________________________

IV. I have worked ______ hours per week as a ____________ in order to:
____ pay for my education
____ help support my family. (My family responsibilities include:

_______________________________________________________________________

V. My volunteer work includes:
____________________________ ____________________________

____________________________ ____________________________

VI. I am a member of the following campus organizations:
____________________________ ____________________________

____________________________ ____________________________

VI. Academic challenges I have faced and how I overcame them (please see back of sheet)