P.O. Box 13046, SFA Station
Nacogdoches, TX 75962-3046
Office – (936) 468-4402
FAX – (936) 468-4015
Letter of Recommendation Form
Complete this form if you want to request letters of recommendation for graduate school or for a job position from
psychology faculty. This form should be emailed to the
psychology
professors you have already spoken with about
Major
Form
recommendations. Note: Speak with your individual letter writers about envelope and stamp needs and whether or not they
would also like for you to provide a printed copy of this form.
r Form
Expected Graduation Date:
Name:
SFA Email:
Personal Email:
Faculty Advisor:
Major:
Name of Letter Writer
Courses you have
taken with this
professor
Today’s Date:
Permanent phone number:
Minor:
Grade
Semester
taken
Other roles in which you have
worked with the professor
(e.g., GAship, lab member,
thesis student)
How long
has this
professor
known you?
1.
2.
3.
Section 2
Some graduate program and job application processes require that the applicant indicate whether or not they waive their
right to review copies of their recommendation letters. For our own records, we would like to know whether you have
chosen to waive this right. Check one:

I have waived my right to review copies of my recommendation letters at any time in the future.

I have not waived my right to review copies of my recommendation letters at any time in the future.
**Please note that many forms require your signature on this matter. Please double check any supplemental recommendation
forms to be sure that you have completed this step before forwarding to faculty members.
Please confirm each item below before turning in this form:
 I have already personally asked each of my designated letter writers to write me a letter of recommendation prior to submitting
this form.
 I understand that a letter writer may ask me for additional information.
 I give my permission to the designated letter writers listed on this form to write a letter of recommendation to the schools to
which I am applying. Each letter writer has my permission to include data from my academic record, including but not limited
to class grades and GPA, in this letter.
**It is recommended that you provide this form to your professors 2 to 6 weeks in advance. Speak to your professors individually
to see how long they each will need to complete your letter of recommendation.
Department of Psychology
Letter of Recommendation Form
Drafted Fall 2015
1 of 4
I have read and understand all the statements above. I also understand that it is in my best interest to have a faculty
mentor assist me in the application process.
____________________________________________
__________________
Student Name (Please Print or Type)
Date
____________________________________________
__________________
Student Signature
Date
Department of Psychology
Letter of Recommendation Form
Drafted Fall 2015
2 of 4
Your name:
Section 3 – Please type
Institution Name
and Full Mailing
Address for
Program/Work
Your Letter
Contact
(even if letter is
Person(s) with
to be emailed)
Their Title
Exact Name of
Program/Job
Position
A brief description of the
job or program and why
you are particularly
interested in it
Degree you
are seeking, if
applicable
Application
Deadline
Additional
Forms
required?
(Circle)
Special letter
instructions
(snail mail, email, online)
Yes
No
Yes
No
Yes
No
Yes
No
Department of Psychology
Letter of Recommendation Form
Drafted Fall 2015
3 of 4
Your name:
Section 3 – Please type
Institution Name
and Full Mailing
Address for
Program or
Your Letter
Work Contact
(even if letter is
Person(s) with
to be emailed)
Their Title
Exact Name of
Program or
Job Position
A brief description of the
job or program and why
you are particularly
interested in it
Degree you
are seeking, if
applicable
(Circle)
Application
Deadline
Additiona
l Forms
required?
(Circle)
Special letter
instructions
(snail mail, email, online)
Yes
No
Yes
No
Yes
No
Yes
No
Department of Psychology
Letter of Recommendation Form
Drafted Fall 2015
4 of 4