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Letter of Recommendation Fact Sheet
Complete this form prior to asking your counselor to write a letter of recommendation for you.
Having this information will enable the counselor to have more information about you and the
various activities and academics that you have participated. This request needs to be completed at least two weeks before the letter is due. Please share with your counselor as much information as possible.
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* Indicates required question
Email
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Your email
Last Name
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Your answer
First Name
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Your answer
Date letter is needed
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MM
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DD
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YYYY
Please describe the purpose of the recommendation.
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Your answer
List all activities and leadership roles inside and outside of school beginning with 9th grade.
Please make sure to include the number of years your were involved as well as any offices you may have held. Example: Student Council, 2 years, secretary.
Your answer
Tell me about a time that you delivered positive results by organizing, mobilizing, and/or inspiring others?
Your answer
What would friends say about your leadership and character?
Your answer
How have you shown a commitment to self-development and a desire to expand your horizons (intellectually, socially, academically, or otherwise)?
Your answer
Awards and Honors
Please give the name of the award, reason for receiving it, and the year received. Example: Jerry Adam's World History Award, Excellence in World History class, 2018.
Your answer
Athletics
Please list sport, years involved, position played, and any awards or recognition received. Example: Track, sprinter, 3 years, District 1 All-Conference.
Your answer
Civic and community group activities
Please list any organizations or activities you have been involved with that benefit your community, school, or religious organization directly.
Your answer
Plans after leaving high school
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Please complete the item below that best matches your plans after high school.
Choose
Attend College (Example: University of Tennessee)
Attend Technical School (Example: Tennessee College of Applied Technology)
Enlist in the Military
Work
Career Goal (What do you want to be when you "grow up"?)
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Your answer
ACT/SAT Information
Please list your ACT or SAT test scores below. If you have not tested, but plan on taking either test please include the date you will test.
Your answer
Work Experience
Please list the name of your employer, the position you held, and the dates of employment. Example, Pals, Cashier, 6/19 -8/2020
Your answer
Community Service
Many college and scholarship programs emphasize community service. List ways you have given back to the community. Give dates, hours spend, and what work was done.
Your answer
What do you consider your strongest personal asset and why?
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Your answer
What three adjectives best describe you? Why?
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Your answer
What is something your teachers would say about you as a student?
Your answer
Is there anything else you like for someone writing a recommendation to know about you?
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This could be things like hardships you have overcome, accomplishments you are proud of, etc...
Your answer
A copy of your responses will be emailed to the address you provided.
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