1. Requesting a Letter of Recommendation (name of scholarship) Name, ID # Grade level, graduation year Due date Where letter is to be delivered Your picture if possible

2. Academic Information Four adjectives which describe you as a student. Favorite subject in high school and why. Least favorite subject in high school and why. GPA/rank Testing information

3. Career Goal Use this space to write about your career goal.

4. Extra-Curricular Activities What is the acitivity? How long did you participate? What did you achieve in these activities? What did you gain and how did you grow from participating in these activities ?

5. Community Service/Activities Briefly describe your role and contributions in community activities and service. Indicate what activity has been the most important to you and why.

6. Personal Information Three adjectives which describe your personality. What person(s) has had the greatest impact on your development and why? Hobbies/special interests – why do you like these?

7. Thank you You should schedule an appointment with the writer to go over the information you have provided. Indicate details here.