The required information is necessary for the continuous legitimate business and educational operation of Eastern Michigan University. It is, and will be, maintained in compliance with applicable US law,
educational accrediting body requirements, and institutional policies and procedures. Questions or concerns may be directed to the Office of Records and Registration at registrar@emich.edu.
Name of Student __________________________ Student ID number _______________
I give permission for the following person or people:
________________________________________ ___________________________________________
Name Position
________________________________________ ___________________________________________
Name Position
to write a letter(s) of recommendation on my behalf. This letter may include, but may not be limited to, the
following information (check all that apply):
Course Grades
Course registration
Institutional GPA
Class Rank
Attendance
Participation
Work Ethic
Attitude
By checking this box, I waive my right to review a copy of this letter of recommendation now and in the
future.
__________________________________________________________ __________________________________
Student Signature Date
Please submit request via mail, email or fax:
Office of Records and Registration
303 Pierce Hall
Ypsilanti, Michigan 48197
Email: registrar@emich.edu
Fax: 734.487.6808
Office of Records and Registration
Eastern Michigan University
304 Pierce Hall ● Ypsilanti, MI 48197
Phone: (734) 487-4111 ● Fax: (734) 487-6808
registrar@emich.edu
Permission to Release Educational
Record Information through Letter
of Recommendation
click to sign
signature
click to edit
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