Requesting a Letter of Recommendation from Dr. Ernst

To the student:  Crafting a letter of recommendation is an  important responsibility; I will need, at minimum, 
3 - 4 weeks to prepare your letter(s).  The checklist  below is for you.  Please read and follow it carefully.

Dr. Ernst:  504.65.3560 (office); 504.865.3970 (fax); kernst@loyno.edu

Things you need to do:
    1.  Provide me all the following documents (hard copies, not electronic attachments) , at least, 4 weeks 
         before the earliest deadline date.
            - A non-official transcript(s).  Highlight the courses you have taken from me.  Note, transcripts 
                printed or downloaded from LORA do not provide Dean's List status.  Thus, I would suggest 
                you obtain
a copy of your transcript(s) from the Office of Student Records.
            - A current resume/vitae
            - Previous employment (employer, type of job you held, dates)
            - Include any honors or awards you have received.
            - Include extracurricular or community service activities you have been involved in.
            - List professional conferences you have attended.
            - A copy of the personal statement you've written.
            - All the forms I need to complete.
            - A list with the name and address of each school, the name of the individual who the letter should 
               be directed to, and a corresponding date the letter should be received.

    2.  Complete the questionnaire below.

    3.  Submit all your materials, to me, at the same time.

Full Name: ______________________________    Today's Date:  ____________________________

Date of Birth:  ___________________________     SS#:  ___________________________________

Address:

Current 

                                                                        

____________________________________

 

Permanent 

_________________________________

_________________________________

   

Phone: (      )                                                                                Phone: (      )

E-mail address: __________________________

Major: _________________________________          Minor: _____________________________

Classification (check one):    Freshman (    )    Sophomore (    )    Junior (    )    Senior (    )

                                            Post
baccalaureate (    )    Other (     ) please specify: __________________

Cumulative GPA:                            GPA in Major:                           GPA in Minor:

(1)  Program(s) to which you are applying:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

(2)  Intended field of study:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

(3)  Degree sought (check one):  Bachelor's (    )        Master's (    )        Ph.D. (    )    Psy.D.  (     )
 
        J.D. (    )             M.D. (    )         D.D.S. (    )    D.V.M. (     )
    
        N/A (     ) please specify: ___________________________

(4)  Concerning the program(s) or the position which you are applying, what type of student or person 
        are they looking for?
                ________________________________________________________________________________________
                ________________________________________________________________________________________
                ________________________________________________________________________________________

(5)  What are your educational and professional goals?
                ________________________________________________________________________________________
                ________________________________________________________________________________________
                ________________________________________________________________________________________


(6)  What do you perceive as your greatest personal and academic strengths to be?
                ________________________________________________________________________________________
                ________________________________________________________________________________________
                ________________________________________________________________________________________


(7)  What do you perceive your weakness to be?
                ________________________________________________________________________________________
                ________________________________________________________________________________________
                ________________________________________________________________________________________


(8)  Provide any additional information that would help in preparing the evaluation (e.g., are there any special obstacles you have had to overcome)?

_________________________________________________________________________________________
              _________________________________________________________________________________________
              _________________________________________________________________________________________


I waive the rights to me by the Family Education Rights and Privacy Act of 1974, to access the letters of  recommendation or evaluation forms.

__________________________________________________          _________________________
Signature                                                                                                Date

Pursuant to the Family Education Rights and Privacy Act of 1974, as amended, I ___________________,
give my consent to Dr. Kim Ernst for the release of my educational records and any and all personally 
identifiable information contained therein.  This information also may include, but is not limited to the 
following: academic record, grade point average(s), class attendance, exam scores, class rank, in and 
outside classroom behaviors, employment information, and any personal attributes or characteristics 
(e.g., interpersonal skills, integrity, emotional stability, maturity of judgment, level of commitment) that 
Dr. Ernst deems relevant.  Furthermore, I give my consent to Dr. Ernst to disclose the information 
described above to the following person(s), insitution(s), and or parties:

_____________________________________           _____________________________________

_____________________________________           _____________________________________

_____________________________________           _____________________________________

_____________________________________           _____________________________________

_____________________________________           _____________________________________.


__________________________________________________          _________________________
Signature                                                                                                Date 

Note.  You must complete the waivers provided above.  I do not require a waiver you may have obtained 
from the psychology department.

I am interested in knowing the outcome of your application(s).  Please let me hear from you.
On-line Resources      

Ernst's home page

Psychology Department

Loyola University


Last Update: 2003-08-30