Recommendation Request Form (for grades 9-11)

Student name: First Last*

Example: Jane Doe

Student email*

example@example.com

Student cell phone*

Please enter a valid phone number.

Recommender name*

Recommender email*

example@example.com

What is the recommendation for? If you are requesting more than one recommendation, itemize each one here in a numbered list (example below text box). Please also provide links to online information about the program(s).*

For example: 1. MIT Summer Program; 2. The Best Scholarship Program in the World: 3. Online Tech Internship

When is the recommendation due? Provide information for each item above.*

For example: 1. and 2. MIT Summer Program and The BSP in the World due March 5; 3. Online Tech Internship due May 1.

How will the teacher deliver the recommendation? Provide information for each item above.*

For example: 1. Upload to a portal, the link to which the recommender will receive in an email; 2. Send as an attachment in an email to veryniceperson@thebestsummerprogram.org; 3. Mail to Online Tech Internship Program; 412 Main Street; Happytown, IN, 47712

What kind of evidence is the recommender expected to provide about you (examples: evidence in support of your character, general academic strengths, academic strengths in a particular subject, your record of community service)?*

For example: 1. This program is looking for evidence of my mad math skills, of whether or not I am mature and flexible enough to live for two weeks away from home; 2. The scholarship selection committee wants details in support of my overall academic strengths and my ability to think critically and write clearly; 3. This program wants to know if I am a team player, if I am a computational thinker, and if I can code.

State here any details about you that will strengthen the evidence the recommender will provide. *

For example: 1. I have always gotten As in math, I got a 700 on my math PSAT, I'm the committee head of Mu Alpha Theta's tutoring program, I always participate in math competitions, and I spent a week with a host family in France; 2. I am a candidate for both the AP Capstone Diploma and the IB Diploma, in Mock Trial, I have to think on my feet, and I contribute articles to the Signal and to a nationally read blog. 3. I have a part-time job as a computer programmer for Old National Bank, and I'm on the golf team.

Upload a resume or a list of relevant activities here. *