Template for Letter of Recommendation
Student fills in information in black.
OSA fills in information in gray.
Information in red is fixed, do not delete or edit.
After completing the information below, save a copy of the template and attach it to the email
ge to [email protected]edu. Make sure to include the Student Request Form (SRF).
[Full Name of Addressee]
[Name of Organization]
[Additional Address Info.]
[City, State Zip Code]
Re: [Student’s Full Name], Letter of Recommendation for
[Name of What Letter is For – e.g., scholarship, fellowship, research, etc.]
Dear [Name of Addressee (e.g. Scholarship/Selection Committee) – if person,
Dr./Senator/Representative/Mr./Ms., etc. + Last Name]:
I am pleased to write a letter of recommendation for [Mr./Ms.] [Student’s Full Name] who is applying for
the [Name of What Letter is For]. [Student’s First Name] is a [first, second, third, fourth] year medical
student who received [his/her] [B.A., B.S., other-Student fills in] degree in [major/major with a minor in-
Student fills in] from [Name of Undergraduate Institution-need to include "the" if appropriate], where
[he/she] graduated with [honors-if applicable; a GPA of –if applicable]. [Student’s First Name] was
[Student fills in any undergraduate honors, awards, honor societies, scholarships, etc. and whether
received, selected, inducted, or awarded]. [Student’s First Name] was actively involved in [fill in any
extracurricular activities with leadership positions held, community service, etc.]. [Student’s First Name]
performed research in the lab of Dr. [Full Name of Research Advisor] in the Department of [Name of
Department] at [Name of Institution]. [Student fills in brief description of student’s responsibilities for the
research and/or brief description of the research]. The research resulted in [number-fill in] [publication(s)/
poster presentation(s)/ abstract(s)/ other-Student fills in]. [Student fills in any other additional research
experiences with same information above for each experience].
(OPTIONAL SECTION; ONLY IF APPLICABLE) Prior to medical school, [Student’s First Name] [Student
fills in any other degrees with all of the same information detailed above and/or Student fills in any work
experiences, etc. did between college and medical school and /or Transfer Student fills in where began
medical school, dates (years) of attendance, any honors, awards, scholarships, extracurricular/leadership
activities, research, etc. in same format as detailed above].
[Student’s First Name] entered the University of Illinois College of Medicine at Chicago (UIC COM) in
[month] of [year] and has distinguished [himself/herself] as a [OSA fills in]. [He/She] has been [Student
fills in any medical school honors, awards, AΩ A, ISP, scholarships, etc. and whether received, selected,
inducted, or awarded]. [Student’s First Name] has demonstrated initiative and leadership skills through
[his/her] involvement in [Student fills in any extracurricular activities with leadership positions held, brief
description of leadership activities and outcomes, etc.].