Fillable Letter Of Recommendation Release Form Ccs 40-220 (Spokane Community College)

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Letter Of Recommendation Release Form Ccs 40-220 (Spokane Community College)

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CCS 40-220 (04/17)
Marketing and Public Relations
Spokane Community College
LETTER OF RECOMMENDATION RELEASE FORM
The Family Educational Rights and Privacy Act (FERPA) prohibits an educational institution from releasing
confidential, non-directory information about a student without the student’s consent. A student may waive
this right for faculty and staff when written letters of recommendation are requested.
Completion of this form authorizes an individual to appropriately use a student’s education record to
provide requested information. This authorization to provide a recommendation is valid for (1) year from the
date of the signature below.
Student’s Name:
Student’s ID #:
Name of individual authorized to release Academic
Information:
(Name of faculty/staff)
I give the individual listed above permission to write a letter of recommendation to:
(Name of persons, businesses, institutions or services)
I give my permission to include the following non-directory information in this letter of recommendation:
Grades
Thesis
Professional Behavior
Research
Test Scores
Other, please specify:
GPA
Class Rank
I understand that, under FERPA, I have a right to review a copy of my education records upon request,
unless I choose to waive that right. With that understanding, I make the following decision:
I waive my right to review a copy of this recommendation.
I do NOT waive my right to review a copy of this recommendation.
Student Signature:
Date:
Received By:
Date:
Faculty/Staff Signature
STUDENT: complete this form and email as an attachment or deliver in person to the faculty or staff
member you wish to write a letter of recommendation for you.
FACULTY/STAFF: return a signed copy of this form to the SCC Registrar, MS 2151
Office of the Vice President of Student Services
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Letter Of Recommendation Release Form Ccs 40-220 (Spokane Community College)

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Completed 27 July 2020

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