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Contact Information
BROOKHAVEN NATIONAL LABORATORY
SCIENCE EDUCATION CENTER
COMMUNITY SUMMER SCIENCE PROGRAM
Letter of Reference Request
To the Student: Please print your name in the space below. Sign and date this form and then submit
it to the person who will serve as a reference for you.
Student _____________________________________________________
Dear Colleague:
The student listed above is applying to participate in the Community Summer
Science Program at Brookhaven National Laboratory. Please provide your opinion
of the student's potential and interest in science, his/her approximate rating
in your class, the scope of your contact with the student and any other additional
comments that you believe to be appropriate. Letters prepared in support of
the student's college applications may be submitted.
Please forward your letter to:
Catherine Osiecki
Brookhaven National Laboratory
Building 438, PO Box 5000
Upton, NY 11973-5000
(631) 344-3054
(631) 344-5832 fax
This is to certify that
I wish to request a letter of reference to be forwarded to Brookhaven National
Laboratory in support of my
Community Summer Science Program application.
Student's Signature
______________________________________________________
Date ____________________________
Last Modified: January 31, 2008
Please forward all questions about this site to:
Sarah Maine
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