Reference Letters for Graduate Programs
•	Provide a copy of your resume.
•	Provide a copy of your transcript(s).
•	Provide a copy of statement of purpose (if applicable)
•	Complete the table and three questions below. Just delete the examples and type in your own information.
•	For letters that need to be mailed, provide addresses on peel-off labels.

University	Program	Degree	Other
Forms?	Address	Deadline	Delivery	
California State University Northridge 	Marriage and Family Therapy	Masters	No	Selection Committee
18111 Nordhoff Street
Educational Psychology & Counseling
Northridge, CA 91330	12/01/07	Mail to
School	
University of California Los Angeles	Clinical Psychology	Ph.D.	Yes	Jane Smith, Ph.D.
Director of Psychology
100 Westwood Blvd.
Los Angeles, CA 90000	11/15/07	I will pick up	

 	 			 			

 	 			 			

When did we first meet, and in what capacity?
I came to you for advising in September 2007, and/or I was in your FCS 432 class in Fall 2007

What class(es) did you take with me, what semester, and what grade(s) did you receive?
Course	Term 	Grade	Course	Term 	Grade	Course	Term 	Grade	Course	Term 	Grade	Course	Term 	Grade	
FCS 340	Spring 2007	A-	FCS 432	Fall 2007	B+	FCS 495	Fall 2007	A							

Is there any other information you want me to know?
I volunteered with the CSUN Helpline. I worked on your research project for 2 semesters. I speak Fluent Armenian and Farsi.