Recommendation Data Form (FOR EMAIL)
Gary Jaye

INSTRUCTIONS FOR SUBMITTING BY EMAIL:                                
1. Use your browser's Save As command (in the File menu) to save this page to file name recForm.txt
2. Use a word processor to retrieve recForm.txt, and fill in the requested data. Do not use MS Word!!!
3. Send me the completed form as an email attachment at gary.jj@verizon.net.

_______________________________________________________________________________________
Applying for early action/decision? (Y/N):
Last name:
First name:                                      
Middle name:
Official class:                     
Official class room:                                            
Street Address (and apt # if applicable):                
City:
State and Zip: 
Home phone: (        )
Phone during holiday: (        )
Preferred Email address:
Other email address (if any):
______________________________________________________________________________________

CURRENT MATH, COMPUTER SCIENCE, CHEM, AND PHYSICS COURSES
(Fill this out only if you haven't received your final grades)
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    COURSE NAME  (NOT CODE)           CURRENT GRADE OR AVERAGE         TEACHER
1.
2.
3.

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