Completed form must be returned by the Dean or other administrator
VIA EMAIL: deanscerts@law.columbia.edu
(preferred) Email must come from an ocial university account
VIA POST: Columbia Law School Oce of Admissions
435 West 116th Street, Mail Code 4004
New York, NY 10027-7297
Dean’s Certification
_____________________________________________________________________________________________________________________________________________________
STUDENT’S LAST NAME FIRST NAME MIDDLE NAME
_____________________________________________________________________________________________________________________________________________________
ADDRESS CITY STATE ZIP CODE COUNTRY
SOCIAL SECURITY NUMBER LSAC ACCOUNT NUMBER
Please type or print above your name, address, Social Security number, and LSAC account number. This form should be given to a Dean or another
Administrator who has access to your complete school records. Note that it is not required that the Dean or other Administrator know you
personally. This appraisal is often simply a report based on an examination of your school records.
Legislation aords to matriculants the rights of access to appraisals submitted in support of their applications if the school retains these
appraisals. You may choose to waive this right. It is entirely your decision as to whether or not you waive your right of access to such
appraisals. Understand, however, that it is possible that some appraisers may be more guarded and less candid in their evaluation is they know
you may read them, than if you waive your right and they know that their appraisals will remain confidential. For this reason we are providing
you with the option on this appraisal form of waiving this right is you so desire. Note that your decisions concerning this option will not aect
our consideration of your matriculation. If you choose to waive your right of access to this evaluation, sign your name on the line below.
___________________________________________________________________________________________________________________________________________
STUDENT’S SIGNATURE DATE
To be completed
by Dean or other
administrator
Please type or
print clearly
The individual named above has been admitted and is planning to matriculate at Columbia Law School. Under legislation, if the student’s signature
does not appear on the above line, this form will be accessible to the student if he or she matriculates and the form is retained after matriculation.
We recognize that in may instances you may not know each other personally. In such an instance we would appreciate whatever information you
might give us after examining the student’s school records. We would appreciate any additional information that you may regard as pertinent.
If you prefer not to use the below form, or if you wish to supplement the form, you may make your comments in any fashion you choose. Please
note, however, that if the student has chosen to waive his or her right of access to your appraisal, this form or a facsimile, signed by the student,
must accompany your appraisal in order for us to assure you of confidentiality.
1. To your knowledge, has the student conducted himself or herself in a responsible manner so that,
if admitted to the Bar, the aairs of others could be entrusted to his or her care with confidence? c Yes c No
Is there any reason why you would not recommend the student for admission to the Bar with regard to character? c Yes c No
2. How long and in what capacity have you known the student?
_________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________
3. _________________________________________________________________________________________________________________________________________________
COLLEGE DEGREE DATE DEGREE CONFERRED OR EXPECTED
4. To your knowledge, has the student been the subject of discipline or academic censure, either for misconduct or deficient scholarship? c Yes c No
Are there any disciplinary charges pending? c Yes c No
If either or both is the case, please explain in a separate statement and attach to this form.
5. I recommend this student in terms of both academic ability and character, as indicated:
c Most enthusiastically c With enthusiasm c Without enthusiasm c Not recommended
_________________________________________________________________________________________________________________________________________________
DEAN OR OTHER ADMINISTRATOR’S SIGNATURE NAME TITLE
_________________________________________________________________________________________________________________________________________________
INSTITUTION PHONE NUMBER E-MAIL ADDRESS
To be completed
by the student
Please type or
print clearly
L
click to sign
signature
click to edit
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click to sign
signature
click to edit
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