Revised: August 2014
PROSPECTIVE STUDENT INFORMATION
Instructions: Please complete all the prospective student information below. Please make additional copies of this
form to each person from whom you are soliciting a letter of recommendation.
USF Graduate Program of Interest:
Legal Name:
Last Name First Name Middle Name
Street Address / Apt. #
City / State / Zip Code
Telephone Number (please include area code) Fax Number (please include area code) E-mail Address
Instructions: Prospective Student must check one of the following items.
I waive the right provided by the Family Educational Rights & Privacy of 1974 (Buckley Amendment) to
view this recommendation in my file at the University of South Florida.
I do not wish to waive this right and shall retain the right to view this letter at the University of South
Florida.
Prospective Student’s Signature Date
RECOMMENDER INFORMATION
Instructions:
1. Please attach this form to your letter.
2. Enclose in an envelope.
3. Seal and sign across the back of the envelope.
4. Return it to the prospective student or mail it directly to USF Graduate Program..
Name of Recommender (Please Print or type)
Letter of Recommendation Request Form
Office of Admissions - Graduate
4202 East Fowler Avenue, SVC 1036, Tampa, FL 33620
TEL: (813) 974-3350 FAX: (813) 974-9689
www.usf.edu/admissions