HTML Preview College Letter Of Reference Sample page number 1.

To the Applicant:

Please complete all entries above the dotted line.

Print Full Name ________________________________________________________________ S.S. # _______________________

Year and Semester of Expected Enrollment: Fall Spring Year ____________________

Program of Study _______________________________________________ Program Code No. ___________________________

Name of Recommender ______________________________________________________________________________________

I am aware of the rights afforded to me by the Federal Educational Rights and Privacy Act of 1974, as amended.

I hereby do do not waive my right to examine the contents of this reference. I understand that by waiving my right I do

so under the condition that the reference is used solely for the purpose for which it is requested.

The student whose name appears above has applied for admission to a master’s program at Queens College. This form is

submitted to you for your evaluation of the applicant’s qualifications both for graduate study and for a fellowship or an

assistantship. Please tell us how long you have known the applicant and what you know about his/her academic ability, and

include any other information that might make a difference concerning the student’s application. (If you prefer not to use

this form, please send your statement on official institutional letterhead.)

How would you compare this student with recent graduates in his/her field?

Upper Tenth Upper Third Average Below Average

Date ____________________________________ Recommender’s Signature ___________________________________________

Recommender’s Name and Title (please print) ___________________________________________________________________

Institution __________________________________________________________________________________________________