Fillable Printable Template For Reference Letter

Template For Reference Letter

Template for Letter of Recommendation

Student fills in information in black.

OSA fills in information in gray.

Information in red is fixed, do not delete or edit.

After completing the information below, save a copy of the template and attach it to the email

message to [email protected]. Make sure to include the Student Request Form (SRF).

______________________________________________________________________

[Date]

[Full Name of Addressee]

[Name of Organization]

[Street Address]

[Additional Address Info.]

[City, State Zip Code]

Re: [Student’s Full Name], Letter of Recommendation for

[Name of What Letter is For – e.g., scholarship, fellowship, research, etc.]

Dear [Name of Addressee (e.g. Scholarship/Selection Committee) – if person,

Dr./Senator/Representative/Mr./Ms., etc. + Last Name]:

I am pleased to write a letter of recommendation for [Mr./Ms.] [Student’s Full Name] who is applying for

the [Name of What Letter is For]. [Student’s First Name] is a [first, second, third, fourth] year medical

student who received [his/her] [B.A., B.S., other-Student fills in] degree in [major/major with a minor in-

Student fills in] from [Name of Undergraduate Institution-need to include "the" if appropriate], where

[he/she] graduated with [honors-if applicable; a GPA of –if applicable]. [Student’s First Name] was

[Student fills in any undergraduate honors, awards, honor societies, scholarships, etc. and whether

received, selected, inducted, or awarded]. [Student’s First Name] was actively involved in [fill in any

extracurricular activities with leadership positions held, community service, etc.]. [Student’s First Name]

performed research in the lab of Dr. [Full Name of Research Advisor] in the Department of [Name of

Department] at [Name of Institution]. [Student fills in brief description of student’s responsibilities for the

research and/or brief description of the research]. The research resulted in [number-fill in] [publication(s)/

poster presentation(s)/ abstract(s)/ other-Student fills in]. [Student fills in any other additional research

experiences with same information above for each experience].

(OPTIONAL SECTION; ONLY IF APPLICABLE) Prior to medical school, [Student’s First Name] [Student

fills in any other degrees with all of the same information detailed above and/or Student fills in any work

experiences, etc. did between college and medical school and /or Transfer Student fills in where began

medical school, dates (years) of attendance, any honors, awards, scholarships, extracurricular/leadership

activities, research, etc. in same format as detailed above].

[Student’s First Name] entered the University of Illinois College of Medicine at Chicago (UIC COM) in

[month] of [year] and has distinguished [himself/herself] as a [OSA fills in]. [He/She] has been [Student

fills in any medical school honors, awards, A A, ISP, scholarships, etc. and whether received, selected,

inducted, or awarded]. [Student’s First Name] has demonstrated initiative and leadership skills through

[his/her] involvement in [Student fills in any extracurricular activities with leadership positions held, brief

description of leadership activities and outcomes, etc.].

[Student’s First Name] has also demonstrated commitment to community service as well as public and

civic affairs through [his/her] volunteer work. [He/She] has been actively involved in [Student fills in

volunteer, community service, mentoring, etc. activities].

(OPTIONAL SECTION; ONLY IF APPLICABLE) [Student’s First Name] has also demonstrated a level of

interest in research. [He/She] has performed research in the lab of Dr. [Full Name of Research Advisor] in

the Department of [Name of Department] at [Name of Institution]. [Student fills in brief description of

student’s responsibilities for the research and/or brief description of the research]. The research resulted

in [number-fill in] [publication(s)/ poster presentation(s)/ abstract(s)/ other-Student fills in]. [Student fills in

any other additional research experiences with same information above for each experience].

In my observation of [Student’s First Name], [he/she] clearly has [OSA fills in]. Therefore, I [OSA fills in]

[him/her] as [OSA fills in] candidate for the [Name of What Letter is For] and give [him/her] my full and

unqualified support.

Sincerely yours,

Kathleen J. Kashima, PhD

Senior Associate Dean for Students

cc: Dr. [Full Name of Student’s Advisor]

Student File

OSA Advisor’s initials