Cover Sheet For Confidential Reference Letter printable pdf download

Cover Sheet For Confidential Reference Letter

Cover Sheet for Confidential Reference Letter

Attached is a confidential letter of reference for the sole purposes of college admission and

academic counseling.

College information

College or University: ____________________________________________________

Admissions Office address: _______________________________________________

Application deadline: ____________________________________________________

Applicant information

Name: ____________________________________________________

Soc. Sec. No. : ____________________________________________________

Home address: ____________________________________________________

Waiver

I hereby waive my right under the Family Educational Rights and Privacy Act of 1974 to view the

attached confidential letter of reference. I will not seek access to this reference letter in my file at the

college or university listed above.

Signature of applicant: ___________________________________________________

Date: ____________________________________________________

Author of reference

Michael Normile

Mathematics Department

Lexington High School

251 Waltham Street

Lexington, MA 02421

Cover Sheet For Confidential Reference Letter