CLM, MLS and HHS Letter of Recommendation Request Form

If you would like to request a letter of recommendation from a faculty member in the Clinical Leadership and Management, Medical Laboratory Science or Human Health Sciences programs, please complete the following steps:

Ask the faculty member if they are willing to write a letter for you. Please try to contact faculty at least a month in advance of the deadline (recognizing that each faculty member receives a large number of requests around the same time of year).
If they agree, fill out the form below.
Complete a separate form for each faculty member from whom you are requesting a letter.

Please note: Please note many faculty are off-contract or away from the office in the summer. Allow additional time for replies to requests sent during the summer.

Your letter writer will contact you within one week to confirm they have received the form and will let you know if they require any additional information. Good luck with your applications!

Name

First

Last

Preferred Email

Requested Faculty Member

Courses taken and/or projects completed with this faculty member

The application requires a

Letter

Reference Form

What is your current major?

Other major

Are you completing any minors or certificates? Please list those here.

What is your expected date of graduation?

When is your earliest program deadline?

May we include your GPA in your letter?

Submit an updated copy of your CV

One file only.
2 MB limit.
Allowed types: jpg, png, pdf, doc, docx.

Optional: If you have a personal statement (even a draft) please submit here

In preparing a letter of recommendation, we are often asked to provide specifics about our experience with you as a student. Some of the information requested by the programs to which you are applying is protected by FERPA and we cannot provide it without your express permission. By checking the boxes below, you are giving the recommenders you selected permission to share the indicated information. If you choose not to check the boxes, your recommenders will withhold that information.

Checkboxes

Information that can be found on my University of Kentucky transcript (courses taken, grades, GPA, etc.)

Information included in an attached curriculum vitae, resume, or personal statement

Any other confidential records the recommender can access (committee evaluations, essays, examinations, teaching evaluations, term papers, etc.)

I hereby waive my right to review this recommendation letter or to know the contents of any follow-up communication in reference to this letter.