ࡱ>  0bjbj  <11111`bbbbbb$O"11F11``61؂&L0&8* : Recommendation Request Form Department of Psychology Name: __________________________________ e-mail: _________________________________ Telephone: _______________________________ HUB Box: ________________________________ or _________________________________ Address _________________________________ I request that Professor Megan Yost provide recommendations for me. I consent to the release of any and all information about me in Professor Yosts possession. I give my permission for Professor Yost to provide a candid recommendation based on her overall knowledge of me from formal and informal observations, formal and informal records, personal and second-hand knowledge, and all other sources. I give Professor Yost permission to provide a recommendation for me to any and all sources that may request it until such a time as I notify Professor Yost in writing that this permission has been revoked. Signature: _______________________________________ Date: ____________________________ To enable Professor Yost to provide a complete and thorough recommendation, you must create a packet of information containing the items listed below. As you collect each piece of information, check the line next to the item. Once everything is collected, provide all of it, along with this form, in a large envelope to Professor Yost. _____ Current GPA: ______; Current Psychology GPA: ______ _____ GRE General Test Scores: V:______ Q:______ Writing:______; GRE Psyc. Test Score: ___________ _____ A written statement summarizing your strengths and weaknesses (Be honest with this) _____ A written statement summarizing your activities, interests, and past volunteer and employment history _____ A list of schools, employers, etc. to whom you would like a written recommendation sent. You must use the attached form and include due dates _____ An addressed and stamped envelope for each recommendation requested that needs to be mailed _____ If there are forms from graduate schools that must be completed and mailed with the letters of recommendation, provide each form with all the pertinent information, including your signature, completed. _____ If you must submit a personal statement with your application, provide a copy of that statement; you only need to provide one such statement (I do not need to see the statement for each individual school). _____ If you have a rsum (or CV), provide a copy of that rsum (or CV). Name: ____________________________________ SS#:_____________________________________ Please complete for each school you are applying to. Order these from earliest deadline to latest. Name of school to which you are applying: _____________________________________________ Name of specific degree program to which you are applying: _____________________________________________ Due Date: ____________________________________ ( Send directly to above address in stamped, addressed envelope I have provided. ( Send to the Dickinson Career Center in the envelope I have provided; the Career Center will send the completed application to the school ( Recommendation to be completed online; a link will be sent via email Name of school to which you are applying: _____________________________________________ Name of specific degree program to which you are applying: _____________________________________________ Due Date: ____________________________________ ( Send directly to above address in stamped, addressed envelope I have provided. ( Send to the Dickinson Career Center in the envelope I have provided; the Career Center will send the completed application to the school ( Recommendation to be completed online; a link will be sent via email Name of school to which you are applying: _____________________________________________ Name of specific degree program to which you are applying: _____________________________________________ Due Date: ____________________________________ ( Send directly to above address in stamped, addressed envelope I have provided. ( Send to the Dickinson Career Center in the envelope I have provided; the Career Center will send the completed application to the school ( Recommendation to be completed online; a link will be sent via email Name of school to which you are applying: _____________________________________________ Name of specific degree program to which you are applying: _____________________________________________ Due Date: ____________________________________ ( Send directly to above address in stamped, addressed envelope I have provided. ( Send to the Dickinson Career Center in the envelope I have provided; the Career Center will send the completed application to the school ( Recommendation to be completed online; a link will be sent via email Name of school to which you are applying: _____________________________________________ Name of specific degree program to which you are applying: _____________________________________________ Due Date: ____________________________________ ( Send directly to above address in stamped, addressed envelope I have provided. ( Send to the Dickinson Career Center in the envelope I have provided; the Career Center will send the completed application to the school ( Recommendation to be completed online; a link will be sent via email Name of school to which you are applying: _____________________________________________ Name of specific degree program to which you are applying: _____________________________________________ Due Date: ____________________________________ ( Send directly to above address in stamped, addressed envelope I have provided. 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