Reference Request Form

Reference Request Form
This form may be used by current students and alumni to request professional references (e.g., letters of reference, reference forms, etc.) for the purposes of application for employment, further education, ordination, or licensure.

If you have questions regarding this form, please contact academics@theseattleschool.edu.

Please Note:
- Requests MUST be submitted at minimum 2 weeks in advance of the deadline. We recommend allowing at least 3 weeks.
- Requests submitted within 2 weeks of the deadline may not be able to be fulfilled.
Student Name*

First NameLast Name
Student Email*
example@example.com
From whom are you requesting a reference?*

First NameLast Name
Email address of staff/faculty member from whom you are requesting a reference*
example@example.com (The email address of the staff or faculty member listed above).
Reference Request Details

This section collects information about the reference you are requesting (e.g., letter of reference for an application, job reference, etc.).
Name of requesting entity*
School, potential employer, etc.
Reference due date*

MonthDayYear
Requests MUST be submitted at minimum 1 week in advance of the deadline. Please note that requests submitted within 2 weeks of the deadline may not be able to be fulfilled.
Brief explanation of your request*
If you have additional information or specific instructions for this request, please identify them here.
Method of reference submission*

EmailMailed hard copyReturn to student (you)Form (to be attached/linked below)
Email to which the reference should be submitted
example@example.com
Address to which reference should be submitted

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Link to reference form
Reference form file upload

If your requestor supplies a form, please upload it here.
Cancelof
Request Acknowledgements

Please read the following stipulations carefully!
I understand that by submitting this form I authorize the requested party to supply the requested information about me and/or their assessment of me to the requesting entity.*

I understand
I understand that by submitting this form I am making a request. Submission of this form does not guarantee that the requested party is availble to fulfill the request.*

I understand
I understand that I will be notified via email (from Jotform) about the status of my request (i.e., approved: the requested party is availble and willing to submit the reference; denied: the requested party is either unavailable or unwilling to submit the requested reference).*

I understand
I understand that recommenders endeavor to provide honest and accurate references, and do not guarantee favorable recommendations.*

I understand
Signature*

Clear
Should be Empty:

Reference Request Form

Reference Request Details

Request Acknowledgements