Teacher Recommendation Request Form

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Please complete this form after you have spoken with your teacher and they have agreed to write a letter on your behalf.

Email *

Your Name (Last, First): *

Teacher Name: *

Course(s) taken: *

Date of Request: *

YYYY

Application Deadline: *

YYYY

In order to help your teacher reflect on your class performance, please answer the following questions:

Three adjectives that most accurately describe me are: *

What was your biggest success in this course? *

What topics did you enjoy the most? *

What topics did you find the most challenging, and how did you overcome the obstacle? *

What would you most like a college admission officer to know about your work in this class? *

Who is your college counselor? *

My college counselor has approved this recommendation request. *

Yes

Send me a copy of my responses.

Submit

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