Request for Letters of Recommendation

Student Name: ___________________________________________

Requests going to:

______________________________________________________________________
Schools Applying to:

Deadlines

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Included:
Copy of Unofficial transcript

______

Parent Brag Sheet

______

Confidential Student Information Form.

______

Special Notes and Considerations:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Confidential
Student Data Sheet
Employers, colleges, or scholarship donors often ask applicants to submit letters of
recommendation. The purpose of this form is to help you organize information that is
needed by the letter writer. While not all of this may be necessary for each situation, it is
always better to have more information than less. In addition filling out this form will help
you to do some thinking about your self that should assist with the entire application
process including the essays. The Parent Brag sheet is optional but strongly suggested.

Guidelines
When requesting a letter of recommendation, be sure to:
*Think of someone who knows you well; someone who knows your strengths
*Ask them in person: Would you be comfortable writing a letter for me?
*Give them the completed worksheet, and make an appointment to answer any questions
after they have had time to read your information.
*Provide plenty of time three weeks minimum, four weeks preferred; make certain the
writer knows the deadline.
The counseling office requires 4 school weeks minimum notice if there are forms to fill out in
addition to writing a letter of recommendation.
*Provide the writer with a stamped envelope, already addressed. Can serve as a reminder.
*Be courteous; always follow-up with a thank you note to show appreciation. These letters
take time.
*Let the writer know how things turned out for you. The writer cares about you!
******************************************************************************

Todays Date____________________________
The Earliest Deadline:______________________
Full legal name______________________________
Name you go by at AIS_________________________________
Home telephone___________________________________
Street Address______________________________
City_________________ Zip______________________
Your Email Address____________________________________________
Name of Parents_______________________________________________
Live with parents? ______
If not, with whom? _________
Fathers occupation___________________________
Mothers occupation__________________________
Number of children in family___________________
Number in college (not counting you)____________

Testing
Test scores:
PSAT ______V______M
SAT_______V_______M _______WR
TOFEL____________________
SAT Subject tests taken with scores if possible and plans:

______________________________________________________________________________
AP Test Plans ____________________________
Any other relevant tests_________________________________

List by grade schools attended:

Grade School Name

Location

Language of Instruction

7th
8th
9th
10th
11th
The 3 qualities I like best about myself are:

What are 3 qualities your teachers would say they like best about you?

What are 3 weaknesses of yours?

What makes you different from your peers?

What accomplishments, projects, papers or activities are you most proud of and why?

Describe how you have shown leadership skills:

Describe an activity (in or out of school) that has been most rewarding. How has that
experience affected you?:
What are your favorite courses and why?

1.
Why:

2.
Why:

What areas or majors are you interested in studying while in college/university? Why?

Is your high school transcript an accurate measure of your ability? Why or why not?

How have you spent the past summers?

How has attending Brent helped you?

What do you hope to be doing ten years from now?

Paid Work experience: Note any work experience you have had during high school
(including summers)
Position/Employer/ Length of time
1.___________________________________________________________________________
2.___________________________________________________________________________
Awards: List any awards or honors that you have received during high school. Please
explain what they are if you think your counselor may be unfamiliar with the award or
honor. (Can attach more paper.)
Name Date Sponsoring Organization
1.___________________________________________________________________________
2.___________________________________________________________________________
3.___________________________________________________________________________

List 5 schools you are considering (in order of preference) and tell me why you want to go
there:
1.
Why:
2.

Why:

3.

Why:

4.

Why:

5.

Why:

What is a hardship or problem you have had to overcome in your life? Tell me how you
dealt with it and how it has changed you?

What honor, AP or college level classes have you taken?

Is there anything else you would like your letter writer to know about you?

Please rate yourself:

Academic motivation
Academic creativity
Academic self-discipline
Academic growth potential
Leadership
Self-confidence
Sense of humor
Concern for others
Energy
Emotional maturity
Initiative
Reaction to setbacks

Below
Average

Good

Excellent

Outstanding

Activities: Note below the SCHOOL and COMMUNITY activities that you have been involved
with in high school.
Include VOLUNTEER WORK. List the activity, the year/s you were involved, and give details,
such as office, position, role etc. Can attach more paper.
1._________________________________Grade_______Position______________________
2._________________________________Grade_______Position______________________
3._________________________________Grade_______Position______________________
4._________________________________Grade_______Position______________________
5._________________________________Grade_______Position______________________
6._________________________________Grade_______Position______________________

Please list three staff members you would like to serve as references for your letter writer.
Make sure you ask the references first if they would be willing.
1._______________________________________
2._______________________________________
3._______________________________________