Letter of Recommendation Request Form



Riverton High SchoolLetter of Recommendation Request Form***********************************************NOTE: Requests for letters of recommendation require one week’s advance notice.Student’s Full Name:___________________________________ Recommendation requested from: _________________________(Circle) Teacher Counselor Employer Administrator OtherDate Requested: ______________ Date Needed: _______________Check whichever request applies:□Recommendation letter to be mailed to the following address: (provide complete name and address AND a stamped envelope) ____________________________________________________________________________________________________City _______________State _______Zip_________________□Recommendation letter to be returned to student in a sealed envelope.Please provide the following information and complete the student information requested on the back of this form.Future/career goals:________________________________________Post-secondary plans--be specific:________________________________________________________________________________________________________________________________________________What accomplishment(s) are you most proud of in the following areas?*academics? ______________________________________________*personal?________________________________________________*school/community service?__________________________________ List 5 adjectives that you feel best describe you as a person: _________________________________________________________ Have there been (or are there now) any circumstances or adversity that you believe have had an impact on your academic performance? Y N If yes, please explain:_______________________________________________________________________________________________________________________________________________________________. ................
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