Reference Request Form

University of Akron-Dept Biology

The Biology Department faculty are deeply interested in what happens to our graduates once they leave the department.  Unfortunately, we only get information when one of you happens to drop us a line or stop in for a visit.  This form is an attempt to collect information more systematically.  We are happy to provide you with a reference-but we need you to tell us what you are up to.  Please fill this out whenever you request a reference from the Biology department, and please return to this page to let us know the outcome of your applications.  You should still request your reference in person-and the professor will refer you here. These data will help the department get more resources for future students.

Your name

Who are you requesting a reference letter from? (separate names with a comma)

Where are you applying? (check all that apply)

Medical School
Other Medically Related program (Dental, Physical Therapy, Veterinary, etc.)
Biology-related program for Graduate School-M.S. Degree
Biology-related program for Graduate School-Ph.D. Degree
Graduate program-unrelated to Biology
Biology-related position
Another position (not related to biology)

Please give us the names of the programs/companies to which you are applying, in order of preference (first choice, second choice, etc.--separate names with a comma).  You only need to give us your top 3.

Please give us a stable email address (one that we can use to contact you ~6 months after you graduate.  Don't worry-we won't barrage you with emails)

If you don't know the results of your application yet, scroll to the bottom and hit 'submit'.

After you know the results of your application-please return and and answer these questions:

For the program/position that you accepted, indicate your result (check all that apply):

I was accepted at my 1st choice
I was accepted at my 2nd choice
I was accepted at my 3rd choice
I was accepted at my 4th choice
I am still looking

Please tell us what you are doing now:

Thanks for your input! Please press "Submit" below.