Collecting Letters of Recommendation

Letters of recommendation are important parts of your application package. These objective evaluations can reveal important aspects of your candidacy, including your character, professional demeanor, commitment to a health profession, and distance traveled.

Health professions programs usually ask for four to six letters of recommendation. The number of letters and requirements for evaluator roles varies among schools, you need to be familiar with the specifics. �� does not provide a committee/composite letter or a letter packet, you will be submitting individual letters, and It is your responsibility to monitor letter completion status and to follow-up on missing letters.

Who Should You Ask?

Choose your letter writer strategically. The following combination of letter writers should provide a balanced picture of you as a well-rounded applicant:

Faculty members who taught you at �� and know you well including your academic achievements, your interpersonal and intrapersonal skills, your background, and future goals. Medical school usually asks for two science faculty and one humanity/social science faculty.
Other members of the �� community with whom you have had frequent and positive interactions: athletic, special projects, campus employment, etc.
A health professional whom you shadowed or worked with (MD, DO, DPM, PA, nurse, etc) who can attest your fit to the profession.
Others with whom you had professional relationships: director of a community program where you volunteered, a supervisor from any other employment, a lab manager of a research project, etc.
DO NOT obtain letters from anyone with whom you do not have any working relationships (e.g., your relatives, personal physicians, family friends, etc.).

How do You Ask?

Ask early. A thoughtful letter takes time to write plus your letter writers may have a busy schedule. Ask before March 1st so that your letters will be ready in early July.
Provide sufficient material. Email your letter writers your resume, transcript, personal statement, your assignments/research projects, and your applicant profile. These supportive materials will help your letter writers compose a compelling letter with details and examples.
Schedule to meet with your letter writers. Either virtual or in-person, this meeting provides an opportunity for you to share your narrative, your distance traveled, and your commitment to a health profession.
Guide your letter writers with the . When communicating with your letter writer, highlight your strengths and which you hope to be addressed.
Provide clear instructions. Make sure that your letter writers include an official letterhead and a signature, and specify how many pages are required. Inform your letter writers that your official request will be emailed to them from either the or , depending on the program to which you are applying. Confirm with your recommenders that they received the email notification. They may need to check their junk or spam folders.
Remind, follow-up, and say thank-you. Gently remind your letter writers about the upcoming deadline, send follow-up emails about recent job changes, updates, research outcomes, etc. Foster relationships with your letter writers, stay in touch, and enclose thank-you notes or a postcard--they’d be happy to learn about your next chapter!
Use this to guide your letter writer.

Medical School Applicants (AMCAS for M.D. and M.D./Ph.D. programs)

Evaluators will submit letters electronically via the .
A maximum of ten letters can be uploaded to AMCAS. Such capacity allows you to assign letters to specific schools, not suggesting that you should deliver all ten letters to one school. The maximum number of letters allowed per school will vary.
Resources:
- (video tutorial)
- Direct your letter writers to visit the . They will find instructions on how to write letters of evaluation and submit them to AMCAS. You must list your letter authors in your AMCAS application before any of them can submit a letter for your file.

Medical School Applicants (AACOMAS for D.O. and D.O./Ph.D. programs)

Evaluators will submit letters electronically via .
A maximum of six letters can be uploaded. Send any additional evaluations directly to your programs.
A letter of recommendation from a D.O. who you have shadowed is strongly recommended, as it demonstrates your interest in learning about the D.O. philosophy.
- information for applicants

Dental School Applicants (AADSAS)

Evaluators will submit letters electronically via .
A maximum of four letters can be uploaded. Send any additional evaluations directly to your programs.
- information for applicants and letter writers

Podiatric School Applicants (AACPMAS)

Evaluators will submit letters electronically via .
A maximum of three letters can be uploaded. Send any additional evaluations directly to your programs.
A letter of recommendation from a D.P.M. who you have is strongly recommended.
- information for applicants

Nursing School Applicants (NursingCAS and non-NursingCAS)

Within NursingCAS, letters of recommendation can be submitted under the References section. The References tab is only available for certain programs that require you to submit references. All references can be submitted electronically by references using .
s - information for applicants
For non-NursingCAS schools, follow the specific instructions provided by each school.

Occupational Therapy School Applicants (OTCAS)

All evaluations can be submitted electronically by evaluators using .
At least three but a maximum of five letters can be uploaded. Send any additional evaluations directly to your programs.
- information for applicants

Optometry School Applicants (OptomCAS)

All evaluations (both a rating of attributes form and a letter) can be submitted electronically by evaluators using .
A maximum of four letters can be uploaded.
View the and their letters of recommendation .
- information for applicants

Pharmacy School Applicants (PharmCAS)

Evaluators (letter writers) must submit evaluations (a.k.a. letters of reference or recommendations) to PharmCAS online via the Evaluator Portal. Evaluators will complete a two-part process:
- Part I: Complete questions and evaluation ratings via the Evaluator Portal.
- Part II: Upload letter of reference via the Evaluator Portal.
A maximum of four letters can be uploaded. Send any additional evaluations directly to your designated programs, if the program requires them.
Refer to the . Each school profile will indicate the acceptable evaluation types.
Since all evaluations are sent to every school you designate, evaluators should avoid referring to any specific pharmacy school or individual in the letter.
- information for applicants

Physical Therapy School Applicants (PTCAS)

All references can be submitted electronically by references using .
A maximum of five letters can be uploaded. Send any additional evaluations directly to your designated programs.
A letter of recommendation from a D.P.T. who you have shadowed/observed is strongly recommended.
Refer to the . Each school profile will indicate the acceptable evaluation types.
- information for applicants

Physician Assistant School Applicants (CASPA)

All references can be submitted electronically by references using .
At least three but a maximum of five letters can be uploaded. Send any additional evaluations directly to your designated programs.
A letter of recommendation from a licensed P.A. who you have shadowed/observed is strongly recommended.
Within CASPA, the Evaluations tab is only available for certain programs that require you to submit evaluations.
Refer to the . Each school profile will indicate the acceptable evaluation types.
- information for applicants

Veterinary School Applicants (VMCAS)

All recommendations can be submitted electronically by recommenders using .
A minimum of three but a maximum of six letters can be uploaded. Recommenders must meet the application deadline set by VMCAS. No exceptions are possible.
VMCAS requires three recommendations to be submitted prior to releasing your application for transcript verification.
A letter of recommendation from a veterinarian who you have worked for or shadowed/observed is strongly recommended.
Refer to the . Each school profile will indicate the acceptable evaluation types.
- information for applicants

- The FREE option is recommended, if you are not ready to apply to medical or health profession programs this cycle, but want to securely store your letters from faculty and other writers. Your letter writers can upload their confidential letters to your FREE Interfolio account until you’re ready to send them off. If you choose to upgrade your account to Dosier Deliver, the annual fee is $48 for 50 deliveries.
- instructions are provided for AMCAS, AACOMAS, an individual DO school, TMDSAS, and AADSAS. As protocol may change from one application cycle to the next, verify with the official application service you plan to use, and if they continue to accept letters from Interfolio.

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