Letter of Recommendation Request Form

LEAD Scholars Program

Name of student requesting a letter of

recommendation/reference: _______________________________________

E-mail address: ___________ Phone number: _____________

Date needed by (please give at least two weeks from request):

Recommender requested (circle one) Gary Stacey Jill Edwanna Kelli Dave Joe

Name of scholarship, job, or agency in which this reference if for:

Letter should be addressed to (please be specific in the person/committee, company or agency that the letter needs to be sent in the attention of):

Type of letter needed (please be specific):

Additional information or special needs:

Please note: YOU MUST TURN THIS FORM IN WITHIN 2 WEEKS OF THE APPLICATION DUE DATE!!!

*You must attach a current resume to this form in order to receive a recommendation/reference. Letters will be available for pick-up in the blue folder at the front desk. Letters may be sealed if necessary pertaining to the request of the scholarship, job, or agency in which this reference is for.

If there are questions or concerns you will receive an e-mail from the recommender.