About this Form…

Please use this form to identify the individuals that will be writing individual letters of evaluation/recommendation on your behalf to be submitted with your Letter Packet. Please notify the Careers in Health and Medicine Office of any changes in the following list or if you will be requesting more than 5 letters.

Please note that when you registered with Intent to Apply form, you waived your rights to read or review information and evaluations within your file. Once the names and emails have been submitted using this form, an email will be sent to the letter writer requesting they submit a letter on your behalf.