Fillable Individual Recommendation Form printable pdf download

Individual Recommendation Form

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Individual Recommendation Form

Name of Applicant_______________________________________

Degree and Concentration ________________________________

Tufts I.D. #:____________________________________________

Applicant E-mail Address: _________________________________

I,_________________________, hereby authorize _____________

to write a confidential letter of recommendation to be used on my behalf for: (please

indicate purpose of letter and waiver rights by checking line to the left):

_____ Employment Purposes

_____ Application to Graduate Study (other than Health Professions)

_____ Application for admission to health professions schools

_____ I agree to waive my right to have future access to this letter.

_____ I do not agree to waive my right to have future access to this

letter.

Student signature:___________________________________________

Date:__________________________

___________________________________________________________

To the Recommender:

In your appraisal, please comment upon the student's intelligence, attitude,

humanitarianism, thoroughness, work ethic, integrity, ability to follow directions,

ability to get along with others, and other qualities that will help assess the

candidate for consideration by a graduate program or employer.

For those applying

to programs in the health professions, please note this additional information: “We

would appreciate your appraisal of the above-named student for use in writing a

composite letter of recommendation requested by health professions schools. The

composite letter will include quotes from individual letters such as yours submitted

on the student’s behalf. Your letter will only be sent to health professions schools

and military scholarship programs in conjunction with the composite letter. Letters

cannot be forwarded to third parties including but not limited to employers, graduate

schools other than health professions schools, or other educational programs.”

Please note that we can not guarantee the confidentiality of your response as far as

the requesting student is concerned unless the student has signed the waiver section

on this form, and this form is returned to us.

Please do not write on the back of this form, attach your own letterhead.

Please address letters and return to: Tufts University, Administrative Support,

Dowling Hall, 419 Boston Avenue, Tufts University, Medford, MA 02155.

Individual Recommendation Form

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