Request for Letters of Recommendation
CHECKLIST
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Complete this form.
Complete the forms provided by the programs to which you are applying. If available, I prefer
completing on-line forms.
Note: I will not take responsibility for checking that your sections of the forms are complete.
Please write or type my name, address, e-mail, etc. on each form (including on-line forms)
as indicated:
Mary Jo Cooley Hidecker, Ph.D., CCC-A/SLP
Assistant Professor
Communication Disorders
1000 E. University Ave, Dept. 3311
University of Wyoming
Laramie, WY 82071
MaryJo.CooleyHidecker@uwyo.edu
307 766-6098
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For those recommendations not available on-line: Stamp and address an envelope for each
application. Use the return address shown below. If letters are to be sent to you, be sure to write
the name of the program on the outside of the envelope. You must not open envelopes that are
sent to you. If a school requires that I use an UW envelope, provide an address and a stamp.
Mary Jo Cooley Hidecker, Ph.D., CCC-A/SLP
Communication Disorders, Dept. 3311
University of Wyoming
Laramie, WY 82071
Print a copy of your unofficial transcript. (Please mark class(es) for which I was your instructor)
Find a large manila envelope that has a clasp to hold it closed. Write your name on the front.
Then, write the name of each program (including those with on-line applications) to which you
are applying and the date that the recommendation is due. Identify any schools that require me
to send my letter to you rather than directly to the school.
If you want confirmation that your letters were sent, include a self-addressed stamped postcard.
Put this form and the materials listed above in the envelope. Attach a picture of yourself if you
are not on my research team. Make an appointment to deliver it to me in person, so that we can
discuss your career plans.
Your information:
Name: ____________________________________________________________________________________
Telephone*:________________________________________________________________________________
Address:___________________________________________________________________________________
__________________________________________________________________________________________
E-mail ____________________________________________________________________________________
*Be sure to provide a telephone number for the semester break as well as one for the school year.
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Request for Letters of Recommendation
If you are currently enrolled in my class, indicate whether you want me to return your
materials to you if your final grade for the course is below a 3.0.
_____Return the application materials.
____Proceed with the recommendation process.
BACKGROUND INFORMATION (Type the answers to these questions on a separate sheet of
paper if you prefer. If this information is in your supplemental material, you may attach that instead.
Attach a copy of your resume if you have one.)
1. When did I first meet you? (Most programs ask how long I have known the applicant.)
2. Briefly describe your career goals. Include a statement explaining how you became interested in
the fields of speech-language pathology and audiology.
3. List any elective coursework that is related your school and career plans.
4. List any work experiences that are related to your school and career plans.
5. List any volunteer work that is related to your school and career plans.
6. Identify any grades that you feel do not reflect your true abilities to do graduate work. Provide an
explanation for each grade that you list.
7. Note any additional information that you feel will be helpful to me when I prepare the
recommendation letters.
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