531 Main Street
Bethlehem, Pennsylvania 18018 USA
(610) 807-9221 : phone
(610) 807-0423 : fax
www.iirp.edu
GRADUATE SCHOOL RECOMMENDATION FORM
SECTION I: To be completed by applicant
Applicant’s Name:
Degree Intent: Master of Science in Restorative Practices
In accordance with the Family Education and Privacy Act of 1974, materials in students’ files, such
as recommendation forms, are open to inspection upon request, unless the student has waived
the right of access in advance. Please indicate your wish by completing and signing the statement below. Your
right to review the recommendation is considered waived if you do not respond.
I hereby (check one) waive my right to access retain my right to access
Applicant’s Signature
SECTION II: To be completed by recommender
Please provide your candid evaluation of this applicant’s ability to successfully complete this graduate program.
Both your letter and this form should be emailed to studentservices@iirp.edu.
Recommender’s Name:
Position or Title:
Institution:
Phone Number:
Address:
Email:
Signature Date
Revised 3/19/2019
