Request for a Recommendation from Employer

							               LETTER REQUEST/RECOMMENDATION FORM

                          CIRCLE ONE: Request a Letter for my Employer
                                      Request Recommendation for Certification

   Please complete the form and turn in to Advising Office front desk (C-420) or e-mail to
    UEAdvisors@uhd.edu, or fax to (713) 226-5234.

   The processing time is approximately 14 days. It will be mailed to the destination that you request.


1. Last Name: _________________________________ (Former Name) __________________________

2. First Name: _________________________________

3. Social Security: _____________________________            E-mail address:___________________________

4. Phone # (work): ______________________________ (home): ________________________________

5. Mailing address (where to mail the letter to):

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    City_______________________________             State______    Zip_____________________________

6. (BAIS or ACP or PBAC) Circle One.                               UHD Graduate? ______ Yes or ____ No

7. If Post-Bac, University from which you graduated: __________________________________________

8. MO/DA/YR Degree Conferred/Awarded: _________________________________________________

9. Specialization or Teaching Field: ________________________________________________________

10. TExES/TOPT exams taken and passed: ___________________________________________________

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NOTES: Please write any special directions or requests here
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