MASTER OF SCIENCE IN ATHLETIC TRAINING
RECOMMENDATION FORM
INDIANA
WESLEYAN
UNIVERSITY
This section is to be completed by the applicant. Please type or print.
Name of Applicant___________________________________________ Social Security _________________________
Home Address (Street, R.R., or PO Box)_________________________________________________________________
City_________________________________________ State_______________ Zip_____________________________
Home Phone (_____) __________________________ Work Phone (_____) ___________________________
Cell Phone (_____) _____________________________
Primary Email Address ______________________________________________________________________________
The Family Education Rights and Privacy Act of 1974 and its amendments guarantees students access to certain academic
records. Students my, however, waive their right of access to recommendations. The applicant’s choice regarding this
recommendation is to be indicated below. Failure to sign will constitute acceptance of limited access.
I do not waive by rights to inspect the contents of the following recommendation.
Signature of Applicant_____________________________________________ Date_____________________
TO THE INDIVIDUAL SUBMITTING RECOMMENDATION: The individual above is applying for admission into the Master of
Science in Athletic Training. We would be grateful for your frank and detailed evaluation of this applicant by providing answers
to the attached document. We are particularly interested in specific information concerning the applicant’s intellectual and
personal characteristics as well as performance that may relate to her or his suitability for the study and practice of athletic
training. Thank you.
Please return completed form to:
Indiana Wesleyan University
Adult Enrollment Services
1900 West 50th Street
Marion, IN 46953
Phone: 866.498.4968 | Fax: 765.677.2601
