NOTICE: Public Law 93-380, the Family Education Rights and Privacy Act of 1974 grants all students the right to inspect and review all letters of recommendation written on/after January 1, 1975, except that a student may waive his/her right to inspect and review letters of recommendation by signing a waiver.

TO BE COMPLETED BY APPLICANT:

Name
Name of Respondent
I do do not wish to waive my right of access to this letter of recommendation as provided by Public Law 93-380 to inspect or challenge the content and comments expressed in this letter.

TO THE PERSON MAKING THE EVALUATION:

Please rate the applicant on the qualities listed below by placing a check mark to the right of those you feel qualified to judge. Use as your standard of comparison other graduate students or professionals in this field.

From your perspective, please rate the applicant's potential as a future professional:

superior    above average   average   below average, not recommended

Please identify how long you have known the applicant and in what capacity:

Year(s), Month(s);

Reference Name
Present Position
Address
Telephone