East Side Community High School

Teacher Request for Letter of Recommendation

Personal History

College Recommendation Letter Request Form-TEACHER-email a copy of letter to

jfurman@the-cbi.org
Directions: Fill out this form for each teacher, make a copy of the completed form for SONIA for safekeeping, and
give (or email) the form TO THE TEACHER. Allow a MINIMUM of 3 WEEKS to receive your rec letter--

Student: Date of form submission to teacher:

Teachers name: ______________________________Class this teacher taught you: __________________________

Grade level (circle all that apply): 10, 11, 12 Other (TA, etc): ______________________________________________

Who else are you requesting a recommendation from?

List three adjectives that describe you. What made you select each of them?

1.

2.

3.

What work / moments are you most proud of from your time in class with this teacher? Give a specific example of a time
when you stepped up or maybe helped another student or adult in that class.

How have you changed over the time this teacher has known you?

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East Side Community High School
Teacher Request for Letter of Recommendation
Personal History

In what ways have you grown academically? Think about study habits, attendance, homework completion, class
participation. All of these areas and more can show academic growth.

What things/hobbies/subjects/issues in the world interest you? Are you passionate about the environment? Curious
about how the human body works? Love to read? Like to take things apart and put them back together? You get the
idea - this can be anything that you are ACTIVELY interested in.

Most people live a whole other life outside of school. It may seem separate, but often when you think about it, you
realize that your non-school life can often have a direct impact on your school life. Was there anything happening in
your non-school life that had an impact negative or positive on your performance in this teachers class? Explain
in as much detail as you can.

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East Side Community High School
Teacher Request for Letter of Recommendation
Personal History

Activities
List every activity youve done since the summer before 9th grade. Things that count as activities:
Sports (for the school or not) One-time events like an AIDS walk
Clubs / student groups at school Volunteering of any kind; working in garden, etc
Babysitting / family responsibilities Paid work of any kind
Church involvement Europe trip or other similar programs
Hobbies that you commit significant time to

Activity / what you did (explain) When did you start (month When did you stop? # of hours
& year, or grade level) (present if still involved) per week

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East Side Community High School
College Bound Initiative Office
th
420 E. 12 Street, New York, NY 10009
www.eschs.org

Please give any additional information about yourself you would want your recommender to
be aware of below.