Request For Recommendation Letter Form - The University Of Texas At Dallas
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1Please mail recommendation directly to:
__________________________ (program advisor)
Graduate School Request for Recommendation
__________________________ (program name)
800 W Campbell Rd, Mail Station _____
The University of Texas at Dallas
Richardson, TX 75080‐3021
SECTION I:
to be completed by applicant.
Applicant’s Name: ______________________________________________
Major/Degree Intent: _______________________________ (major) [ ] master’s [ ] master’s then doctorate [ ] doctorate
Term/Year of Entry: [ ] fall [ ] spring [ ] summer ____________ (year)
In accordance with The Family Education Rights and Privacy Act of 1974, materials in students’ files, such as
recommendation forms, are open to inspection upon request, unless the student has waived the right of access in
advance. Please indicate your wish by completing and signing the statement below. Your right to review the
recommendation is considered waived if you do not respond.
I hereby [ ] waive my right to access [ ] retain my right to access._____________________________________________
applicant’s signature
date
SECTION II:
to be completed by recommender.
Please provide your candid evaluation of this applicant’s ability to complete successfully the program of graduate study
indicated. Use space on back of form, or attach letter, if necessary.
Ranking compared to students
top 2% top 10% top 25% top 50% unable to rank
in comparable fields:
Recommender’s Name: _____________________________________Position or title:_______________
Institution: _______________________________________________ Phone #: ____________________
Address:_________________________________________________ Email:______________________
Signature: _______________________________________________ Date: _______________________
Please mail recommendation in a sealed envelope to the address indicated above. Recommendations can be sent
directly to the program office.
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Parent category: Letters