When you are done, click on the Submit button below.
You should receive a confirmation page for your records,
which you should print out.
I should receive your request. As soon as I do, I
will e-mail you to acknowledge receiving your information.
If you do not hear from me within 24 hours, something
got lost in Cyberspace, and you will need to give me
your print out of the confirmation page.
If you would prefer to work off line, and
then e-mail or hand me your answers personally, [DOWNLOAD]
the text file of these questions instead.
Name:
E-mail:
12th Grade Homeroom
Teacher:
Home Phone:
Course(s) Taken
with Me:
1. What is your current career goal and/or what do
you intend to major in? Why did you choose this?
2. What part of my course were you most successful
with? Try to explain why.
3. What about my course did you enjoy the most? Try
to explain why.
4. What part, if any, about my course did you find
the most challenging? What did you do to deal with
that challenge?
5. Did my course ever have you think about something
in “real life” that you never thought about before?
If so, please give me an example.
6. What are some of your extracurricular activities?
Include any paid or volunteer jobs, hobbies, and
ethnic affiliations, in addition to sports and
clubs, especially if they relate to your career
goals. If these are already listed on the form you
fill-out through guidance, you may simply give that
to me at school.
7. Is there anything special that
you would like me to include in your letter?
Some connection between Chemistry or Science in
general and your career goals? Something
personal about you that I might forget -- or might
not know about? Anything at all that you'd
like the admissions committees to know but may not
show up anywhere else on your applications?
Try to think of at least one thing, but, if
not, just type "No."
8. Do you expect to be applying
anywhere as an "early admission" candidate? If
you are, where? Also, it is imperative
that you pay attention to your deadline and
double check with me at least one week before
your letter needs to be in the Guidance Office.
9. To the best of your ability,
list the schools that you think you will be applying
to. If you are submitting this form to me
early, I understand that you may not be sure, but
give me the most complete list you can. You
can always send me an update via e-mail at a later
date.
