Pre-VeterinaryLetterOfRecommendationQuestionnaire

PRE-VETERINARY LETTER OF RECOMMENDATION QUESTIONNAIRE

Date________________

Major ________________________

Full Name: (last name, first) ____________________________________________________

Local Address: ___________________________City_________________ Zip__________

Local Phone: _____________________________ E-Mail: ________________________

Entered college in ___________19/20 _________ Expect________degree in ____20 ___

College activities (athletics, publications, pre-veterinary club, etc., with average
number of hours per week, offices in club held and when):

Freshman year___________________________________________________________

________________________________________________________________________

Sophomore year ___________________________________________________________

________________________________________________________________________

Junior year _______________________________________________________________

________________________________________________________________________

Senior year _______________________________________________________________

________________________________________________________________________

Outside work during school year (state nature of work, with average number of hours per week): Freshman year

______________________________________________________________________

Sophomore year__________________________________________________________

Junior year _______________________________________________________________________

Senior year

_______________________________________________________________________

Animal care related experience (give nature of position, the organization and location,
hours per week, and length of time for each one listed):

________________________________________________________________________

Research experience:

________________________________________________________________________

Work, travel or other experiences (during the past two summers):

________________________________________________________________________

Undergraduate grade point average:

Overall GPA ______

Overall Science GPA ______

Last two years GPA ______

GRE Scores: Verbal ______ Quantitative ______ Analytical ________

I expect to apply for admission in September, 20 ____, to __________________
veterinary school or ___________________ graduate school
(list major if choosing grad. school) _______________________________________

Last year attended Pierce, list classes, when taken and grades given by Dr. Shapiro:____________________________________________________________

___________________________________________________________________

List Offices held while in the pre-veterinary club ________________________________

_______________________________________________________________________

Other comments (you may use additional sheets):

________________________________________________________________________

________________________________________________________________________ For the schools you are applying to please provide me with individual stamped envelopes with each schools name and address typed across the front (or simply apply through VMCAS to complete all the letters on line). Check off the “waived” portion of your application. Give me ample time to create a proper letter of recommendation to go along with your application.
Return to:
Dr. Leland S. Shapiro, Director
Pre-Veterinary Science Program
Los Angeles Pierce College
6201 Winnetka Avenue, Box 202
Woodland Hills, CA 91371
(818) 710-4254
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