Pre-Health LOR

Letter of Recommendation Services - DO

Registration for Pre-Health Letter of Recommendation Services

There is a $15.00 fee for this service payable by check or money order to The University of Arizona.
Your file will not be opened until you complete this registration AND pay the fee

Read directions carefully to be sure you need to register with us. This registration fee is non-refundable

User name should contain only alphabets (a-z), numbers (0-9) and underscore (_) Password must be at least 6 characters to ensure better security.
Please do NOT use a single quote ( ' ) in any entry field

* Signify Required Fields

Pre-Health Account Details

Choose User Name*:

Choose Password*:

(Case Sensitive)

Re-type Password*:

Password Reminder

Hint Question*:

Tips

Hint Answer*:

Important
In case you forget your Password, you can retrieve
it by answering the following information.
Therefore, please enter only details that you will remember.
Choose a Hint Question whose answer only you will know.

Please do NOT use a single quote ( ' ) in any entry field

Tell us about yourself
First Name*:
Last Name*:
Middle Name :	(If Applicable)
Last 4 digits of Social Security Number*: (If currently enrolled at Arizona)-Student ID:
Gender *:
Birthdate*::
Ethnicity*:
AACOMAS ID# :
OTHER ID#’s :
Email Address*:
Phone*:
Re-applicant :	If yes, from what year?
If yes, did you use Pre-Health office to send your letters?

Degree Information

Year Degree completed or Expected Graduation Date* :

Waiver Information:*

In order to use this Letter of Recommendation Service, you will need to waive your right to view the letters submitted by your letter writers. You are not required to use our service and if you choose not to waive your right to access to the letters, you are welcome to handle this part of the application process on your own. Our system is set up to include the waiver because we have been advised by health professions schools that this is what they prefer.

WAIVER OF RIGHT OF ACCESS: I hereby voluntarily waive my right of access to my Pre-Health Advising Center Letter of Recommendation File and my letters of recommendation. I understand that by doing so, I will never be able to view or handle any letters in my file under any circumstances (even if I am accepted to my professional program).

First Name: Last Name:

AUTHORIZATION: By signing this authorization, I hereby authorize The University of Arizona’s Dean of Students Office to release any violations of the Student Code of Conduct to the Pre-Health Professions Advising Center. Further, I authorize the pre-Health Professions Advising Center to transmit this information and the letters of recommendation in support of my application to professional schools. I release the University of Arizona and its individual staff members from civil liability for any damages sustained by me by reason of their respective functions and services in fulfillment of this request.

First Name: Last Name:

Last 4 Digits of SSN: Date:

Authorization

Please enter your first and last name in each section, both will serve as your Digital Signature.

To complete registration make sure click the [Register] button below