Information for students: Please send this form  to 3-4 references. Recommended references should be professional in nature from supervisors, managers, professors, coaches, mentors, advisors, etc. Personal references from colleagues will also be accepted. It is your responsibility to follow up with your references to ensure you meet the deadline of December 1st. If you already have existing letters, please scan them and send to with "Pre-Med Letter of Reference for [Your Name]" in the title.
Please submit your completed application and your three reference letters by December 1st. The earlier we receive your application, letters, and transcript, the sooner the committee is able to review your application for interview acceptance.

Information for those submitting the reference: You've been asked by a student to recommend them for Abington Jefferson Health's Pre-Med Program! If you'd like to learn more about our program, please visit our website. If you have any questions or issues filling out the form, please call us at 215-481-2606