Applicant Recommendation Form

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University of West Florida
APPLICANT RECOMMENDATION FORM
Department of Health, Leisure & Exercise Science
Please mail completed form to:
University of West Florida
Graduate School
Building 11
11000 University Parkway
Pensacola, FL 32514-5751
Phone: (850) 473-7716 or (866) 931-4872
:
APPLICANT
Please complete the first part of this recommendation form within this outlined box. Give this form to the person whom
you have asked to write a letter of reference and attach a stamped envelope addressed to the above address.
Applicant’s Name:_________________________________________ UWF Student ID # (Not SSN):___________________________
Applicant’s Address: ___________________________________________________________________________________________
Day Telephone: ______________________________________ Evening Telephone: _______________________________________
I AM APPLYING TO THE (check one):
Community Health Education
Exercise Science
Physical Education
MSA Health Care Administration
Name of Evaluator:____________________________________ Institution/Company:_______________________________________
*According to the Family Educational Rights and Privacy Act of 1974, the applicant has a right of access to information provided in a letter
of recommendation. The applicant also has the option to waive this right and subsequent access to this information. Waiver of this right is
NOT a condition of admission and each application will receive full and equal consideration, regardless of the decision regarding this waiver.
I waive my right to view the content of this letter. I understand that the decision itself will not affect the decision of the
Admissions Committee.*
I do not waive my right to view the contents provided in the letter of reference by the above named referee. I
understand that the decision itself will not affect the decision of the Admissions Committee.*
_______________________________________________________
_____________________
Applicant’s Signature
Date
EVALUATOR: (Please complete this portion.)
Evaluator’s name: ______________________________________________________________________________________
Institution/Company: _____________________________________
Position: ____________________________________
Address: _____________________________________________________________________________________________
Telephone: __________________________________________ E-mail: _________________________________________
What is your relationship to the applicant?
Teacher
Supervisor
Academic Advisor
Employer
Other (please explain)__________________
_____________________________________
How well do you know the applicant?
_____________________________________
Not well
Somewhat
Well
Very Well
How long have you known the applicant? _____________________________________
Is the applicant’s scholastic record, as you know it, an accurate index of his/her scholastic potential?
YES
NO
If no, please explain ________________________________________________________________________________

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