LOR Student Information for Dr. Reiken
Name __________________________________ Date______________________
Courses taken from Dr. Reiken:
Course Name
Semester Taken
Grade Received
(Spring, Fall, Summer and Year)
This recommendation is required for:
Medical School
Dental school
PA school
Graduate School
Other (specify): _____________________________________________________________
Is there a “due date”?
YES Date: ______________________
Has your waiver form (Biology Office Been Completed):
NO
YES
NO
Evaluate yourself by writing your own sample letter of recommendation. Critique yourself regarding
performance in the course(s) listed above, personal attributes, and your readiness to apply to your
chosen program. Send this form with your sample letter to Reiken@mc.edu along with any other
pertinent information (CV, Personal Statement, etc) that may be helpful in writing your LOR. Be sure
you have completed all required forms with Mrs. Graves in the Biology Department office. Your LOR
cannot be sent without going through the proper channels!