FERPA Letter of Recommendation Release Form
Student ID ____________________________
Last Name ______________________________________ First Name _______________________________________
Faculty Name ______________________________________________
I am respectfully requesting a letter of recommendation to be sent to :
Name of recipient: _______________________________________
Address: ________________________________________________
________________________________________________
_________________________________________________
Please include the following information:
____ course (s) completed
____ grades earned
____ attendance
____ classroom participation
____ GPA
____ other ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
_____________________________________________________________________________________
Student Signature _______________________________________________________________Date ___________
REG 8.15
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