Student Programs:
Letter of Recommendation Request Form

Thank you for reaching out to request a Letter of Recommendation from Upstate Medical University's Office of Volunteer Programs. Please read the information below carefully and respond thoroughly to help move the process along seamlessly. With any questions, please email waltarl@upstate.edu or call 315 464 5177.

Sending along your resume and/or personal statement will be helpful, but is not required.

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* 1. Today's Date

*Three weeks minimum notice is required; although the more notice, the better. If your recommendation deadline is less than three weeks from today's date, you may not be eligible for a letter of recommendation and your request may be denied.

Date

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* 2. First Letter Deadline:
Please list the deadline for your letter, or if there are multiple deadlines, then please list the earliest.

Date

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* 3. Name:

*Please list how you want your name formally written on the letter of recommendation (ex: Christopher Jones)

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* 4. Nickname/Preferred Name (ex: Chris)

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* 5. Phone Number:

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* 6. Email:

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* 7. What have you learned about yourself through volunteering?

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* 8. What is one key moment from volunteering at Upstate Medical University that sticks with you moving forward? Why?

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* 9. What are your short and long term goals at this time?

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* 10. I understand that it is my responsibility to let the Student Programs Manager know all necessary information for her to complete the recommendation. My request may be declined if there are less than three weeks between today's date and the deadline for the letter. I recognize that submitting this request form does not confirm that a letter will be written, and that I must wait on a reply from the Student Programs Manager before proceeding.

No, I do not understand.

Yes, I understand and will type my name below as an attestation of that understanding.

Laura E. Waltar
Student Programs Manager
Office of Volunteer Programs
Upstate Medical University

waltarl@upstate.edu
315.464.5177
UH 1402
750 East Adams Street
Syracuse, NY 13210

14% of survey complete.

Student Programs: Letter of Recommendation Request Form

Question Title

* 1. Today's Date *Three weeks minimum notice is required; although the more notice, the better. If your recommendation deadline is less than three weeks from today's date, you may not be eligible for a letter of recommendation and your request may be denied.

Question Title

* 2. First Letter Deadline:Please list the deadline for your letter, or if there are multiple deadlines, then please list the earliest.

Question Title

* 3. Name:*Please list how you want your name formally written on the letter of recommendation (ex: Christopher Jones)

Question Title

* 4. Nickname/Preferred Name (ex: Chris)

Question Title

* 5. Phone Number:

Question Title

* 6. Email:

Question Title

* 7. What have you learned about yourself through volunteering?

Question Title

* 8. What is one key moment from volunteering at Upstate Medical University that sticks with you moving forward? Why?

Question Title

* 9. What are your short and long term goals at this time?

Question Title

Student Programs:
Letter of Recommendation Request Form

* 1. Today's Date

*Three weeks minimum notice is required; although the more notice, the better. If your recommendation deadline is less than three weeks from today's date, you may not be eligible for a letter of recommendation and your request may be denied.

* 2. First Letter Deadline:
Please list the deadline for your letter, or if there are multiple deadlines, then please list the earliest.

* 3. Name:

*Please list how you want your name formally written on the letter of recommendation (ex: Christopher Jones)