Graduate Letter Of Recommendation For Admission - Fitchburg State University printable pdf download

Graduate Letter Of Recommendation For Admission - Fitchburg State University

Graduate Letter

of Recommendation

for Admission

APPLICANT’S SECTION

This part is to be completed by the applicant prior to giving the form to the evaluator.

Last Name (legal name)

First Name

Middle Initial

Last 4 digits of Social Security Number

Home Street Address

City

State

Zip

Country

Intended Graduate Program of Study:

Waiver Selection and Signature:

I waive the right provided by the Family Education Rights and Privacy Act of 1974 to view this letter of recommendation.

I do not wish to waive this right. I wish to retain the right to view this letter of recommendation.

Applicant’s Signature: ______________________________________________________________________Date: ________________________

EVALUATOR’S SECTION

The person whose name appears above is applying to a graduate program at Fitchburg State University.

We would appreciate your candid appraisal of this applicant relative to admission.

As required by the Family Education Rights and Privacy Act of 1974, a student may elect to waive the

privilege of viewing this recommendation form. If the student has not waived this right in the section

above, you should consider this form to be non-confidential.

Name of Person Making the Evaluation

Last

First

Middle

Organization/Institution

Relationship to Applicant (check one):

Current/Former Employer

Current/Former Instructor

Position/Title

Phone Number

Business Address

City

State

Zip

Evaluator’s Signature

1. How long and in what capacity have you known this applicant?

Graduate Letter Of Recommendation For Admission - Fitchburg State University