Name: Social Security #:
E-mail: Phone:
Current Address:
LIST LETTERS OF RECOMMENDATION TO BE SENT - List resume or C.V. and dissertation abstract where applicable. Note: Do not request special combinations of letters for different mailing addresses on one request form. We will forward the letters, in order listed below, to each employer or graduate school listed on THIS form. We will NOT hold your request pending arrival of additional recommendations. It is your responsibility to make sure that all recommendations are in your file before making a request.
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6.
2.
7.
3.
8.
4.
9.
5.
10.
LIST THE NAMES OF EMPLOYERS / GRADUATE SCHOOLS TO WHICH FILE IS TO BE SENT (include fax# if applicable) (be sure to attach completed mailing labels for each employer or graduate school)
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6.
2.
7.
3.
8.
4.
9.
5.
10.
YOUR SIGNATURE:______________________________ DATE:_____________
CHECK APPROPRIATE SERVICE - Please refer to the schedule of fees for appropriate charges, and attach payment as per the following (make check payable to University of Virginia) :
STANDARD Service RUSH Service FAX Service PRIORITY Service FEDEX Service