This form is to be forwarded to the person recommending you.
Under the Federal Family Educational Rights and Privacy Act of 1974, students are entitled to review their
record, including letters of recommendation. However, those writing recommendations and those
assessing recommendations may attach more significance to them if it is known that the recommendations
will remain confidential.
It is your option to waive your right to review these records or to decline to do so. Please mark your choice of
option and sign your name below.
I elect to keep this recommendation confidential. I waive all rights of access to this
recommendation, whether visual, oral, or written, as provided in the Family
Educational Rights and Privacy Act of 1974 and its amendments. I understand that this
recommendation will not be available for my inspection now or in the future.
I elect to keep the recommendation non‐confidential, and the
recommendation may be
Type signature here: ______________________________________________
INSTRUCTIONS TO RECOMMENDER
Please complete the following recommendation form to evaluate this applicant for a UMass Amherst
College of Nursing program.
Please DO NO
T complete this form if the candidate has failed to designate a confidentiality option above.
Your prompt response is appreciated.
PROGRAM APPLICANT REFERENCE FO