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Letter of Recommendation Request for Dr. Malott*
                                    *you must indicate that you “waive your right” to access to the letter on relevant forms
NAME (include maiden name):                                                  Overall GPA:                             Phone:
EMAIL:                                                                       PSY GPA:                                 Total GRE Score:
Minor / 2nd Major:                                                           Minor/2nd Major GPA:                     Quantitative GRE Score:
# of math courses taken:                                                     Math GPA:                                Verbal GRE Score:
# of writing courses taken:                                                  Writing GPA:

Names & deadlines of the Schools/Scholarships/Fellowships/Jobs, etc. for which you are applying (attach an extra sheet, if necessary):
                                    Name                                                  Deadline                   Add’l forms to complete?   Electronic Letter?

1)                                                                                                                        Yes        No            Yes     No
2)                                                                                                                        Yes        No            Yes     No
3)                                                                                                                        Yes        No            Yes     No
4)                                                                                                                        Yes        No            Yes     No
5)                                                                                                                        Yes        No            Yes     No

     Area of interest (e.g., Autism, DD, I/O, OBM, etc.)?________________________________________________________            Include the following in a file
                                                                                                                                folder or large envelope:
     Research projects in which you've been involved:________________________________________________________
                                                                                                                               Photo of yourself
      ________________________________________________________________________________________________________                 Forms (if applicable), complete
                                                                                                                                including your signature
     Honors you've received from the psychology department or university:____________________________________
                                                                                                                               Addressed envelopes for
      ________________________________________________________________________________________________________                  letters/forms (USE 2 STAMPS)
                                                                                                                               Copy of WMU transcript (may be
Malott PSY Course        Semester            Year                         T.A. Name                          Grade              unofficial)
                                                                                                                               Resume/curriculum vita (CV)
     3600/1000H
                                                                                                                               Personal statement
       Super A                                                                                                 A               This form
                                                                                                                               An optional, self-addressed,
        4600                                                                                                                    stamped postcard we’ll mail to
     BSAP/Super P                                                                                                               you when your letters have been
                                                                                                                                sent
     3570 Regular
                                                                                                                          Turn in to Khrystle Montallana at
3570 Intermediate                                                                                                         either:
                                                                                                                           Graduate mailbox “M” in Psyc
 3570 Advanced                                                                                                                 Dept. (Wood Hall, 3rd floor)
      3980: BRSS                                                                                                           Mailbox “Khrystle Montallana”
                                                                                                                               or door box in BATS lab (Wood
      4990: BRSS                                                                                                               Hall, room 2536)
                                                                                                                           Mail to: 1035 Weaver Ave.
 Grad/GRE Prep
                                                                                                                               Kalamazoo, MI 49006
      Self-Mgmt                                                                                                           **Please e-mail KLM309@gmail.com
                                                                                                                          to notify that materials are complete
    Pre-Practicum                                                                                                         and have been turned in.

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LOR Request Form

  • 1. Letter of Recommendation Request for Dr. Malott* *you must indicate that you “waive your right” to access to the letter on relevant forms NAME (include maiden name): Overall GPA: Phone: EMAIL: PSY GPA: Total GRE Score: Minor / 2nd Major: Minor/2nd Major GPA: Quantitative GRE Score: # of math courses taken: Math GPA: Verbal GRE Score: # of writing courses taken: Writing GPA: Names & deadlines of the Schools/Scholarships/Fellowships/Jobs, etc. for which you are applying (attach an extra sheet, if necessary): Name Deadline Add’l forms to complete? Electronic Letter? 1) Yes No Yes No 2) Yes No Yes No 3) Yes No Yes No 4) Yes No Yes No 5) Yes No Yes No  Area of interest (e.g., Autism, DD, I/O, OBM, etc.)?________________________________________________________ Include the following in a file folder or large envelope:  Research projects in which you've been involved:________________________________________________________  Photo of yourself ________________________________________________________________________________________________________  Forms (if applicable), complete including your signature  Honors you've received from the psychology department or university:____________________________________  Addressed envelopes for ________________________________________________________________________________________________________ letters/forms (USE 2 STAMPS)  Copy of WMU transcript (may be Malott PSY Course Semester Year T.A. Name Grade unofficial)  Resume/curriculum vita (CV) 3600/1000H  Personal statement Super A A  This form  An optional, self-addressed, 4600 stamped postcard we’ll mail to BSAP/Super P you when your letters have been sent 3570 Regular Turn in to Khrystle Montallana at 3570 Intermediate either:  Graduate mailbox “M” in Psyc 3570 Advanced Dept. (Wood Hall, 3rd floor) 3980: BRSS  Mailbox “Khrystle Montallana” or door box in BATS lab (Wood 4990: BRSS Hall, room 2536)  Mail to: 1035 Weaver Ave. Grad/GRE Prep Kalamazoo, MI 49006 Self-Mgmt **Please e-mail KLM309@gmail.com to notify that materials are complete Pre-Practicum and have been turned in.