Recommendation Request Form (Ferpa Release)

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RECOMMENDATION REQUEST FORM
(FERPA RELEASE)
To the Doctoral Degree (Ed.D.) Applicant:
Important: You must initial on line #3 below and sign this form to waive your FERPA rights. In addition, after signing this
form, you must forward this form to the writer of your recommendation.
Student Name ______________________________________________Date ______________
(PLEASE PRINT)
Signature______________________________________________________________
Email Address _________________________________________________________
1. FERPA grants applicants the right to review their educational records, which includes letters written on their behalf. If
you wish to waive your FERPA rights (Waiver of Rights to Access), please check the box below and sign in the space
indicated. If you do not check the box or sign the form in the space provided, your letter writer and the Academy
will assume that you have not waived your FERPA rights to read this letter.
2. FERPA does not give you the right to acquire copies of your letters of recommendations or letters of recommendation
forms. FERPA only gives you the right to view your letters of recommendation (on site only).
3. ______ (initial here) I hereby waive my right (Waiver of Rights to Access), under the Family Educational Rights and
Privacy Act of 1974.
______________________________________
To the Letter of Recommendation Writer:
• Please write your recommendation on letterhead or complete the letter of recommendation form, which may be obtained at:
Attach this form and the recommendation and mail or
fax the information to:
United States Sports Academy, One Academy Drive, Daphne, Alabama 36526
Fax Number: (251) 625-1035 Attention: Graduate Admissions
• If # 3 above has been left blank, the applicant will maintain the FERPA right to view your letter. If the applicant indicates the
choice to waive, he or she will not have access to the letter of recommendation.
For security reasons, please do not send either this form or your recommendation as email attachments.
Important: Please sign this form, indicating that you are aware that the student waived or did not waive FERPA access to your
letter of recommendation.
Name _________________________________________ Signature_________________________________
(PLEASE PRINT)
Title ____________________________________Phone________________________ Date________________
Email Address _____________________________________________________________________________
RECOMMENDATION REQUEST FORM-Ed.D.
CREATED: 16 DECEMBER 2009, rev. 23 February 2010, rev. 24 November 2011
Q: FERPA/RECOMMENDATION REQUEST FORM

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