CLM and HHS Letter of Recommendation Request Form

If you would like to request a letter of recommendation from a faculty member in the Clinical Leadership and Management or Human Health Sciences programs, please fill out the form below. If you need to request a letter from more than one faculty member, please fill out one request for each letter you need. Please try to submit requests no less than one month in advance recognizing that each faculty member receives a large number of requests around the same time of year.

Please note: Many faculty are off-contract or away from the office in the summer. Allow additional time for replies to requests sent during the summer.

You will be asked to select up to three potential letter writers. Your request will be sent to your first choice letter writer first. If they are not able to write for you, your request will be routed to your subsequent choices. If a faculty member has already agreed to write for you, simply enter their name in all three fields.

Your letter writer will contact you directly within about one week to confirm they plan to write your letter and to ask for additional information and arrange for submission.

All fields must be completed. You will receive a confirmation message upon submission.

Name *

Preferred Email *

Please rank in order of preference up to three faculty who you think could write you a strong letter. Only choose faculty who you think would write a strong letter for you.

1st Choice *

Courses taken and/or projects completed with this faculty member *

2nd Choice *

Courses taken and/or projects completed with this faculty member *

3rd Choice *

Courses taken and/or projects completed with this faculty member *

The application requires a *

Letter

Reference Form

What is your current major? *

Other major *

Are you completing any minors or certificates? Please list those here.

What is your graduation date or expected graduation date? *

For what are you applying? *

Other *

When is your earliest program deadline? *

May we include your GPA in your letter? *

Submit an updated copy of your CV *

Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx.

In preparing a letter of recommendation, we are often asked to provide specifics about our experience with you as a student. Some of the information requested by the programs to which you are applying is protected by FERPA and we cannot provide it without your express permission. By checking the boxes below, you are giving the recommenders you selected permission to share the indicated information. If you choose not to check the boxes, your recommenders will withhold that information.

Checkboxes

Information that can be found on my University of Kentucky transcript (courses taken, grades, GPA, etc.)

Information included in an attached curriculum vitae, resume, or personal statement

Any other confidential records the recommender can access (committee evaluations, essays, examinations, teaching evaluations, term papers, etc.)

I hereby waive my right to review this recommendation letter or to know the contents of any follow-up communication in reference to this letter.

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