Scranton University Teacher Recommendation Form

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Teacher Recommendation Form
TO BE COMPLETED BY THE APPLICANT:
Please complete the information below and then provide your teacher with this form along with a stamped envelope addressed to Office of
Admissions, The Estate, The University of Scranton, Scranton, PA 18510. One recommendation is required. Please type or print legibly in ink.
Last name ______________________________ First name ____________________________ M.I. ______ Suffix (e.g., Jr., III) ______
Street address _________________________________________________________________________________________________
Number and Street
Apt. #
City ___________________________________________________ State/Province __________ Zip/Postal code _________________
High School: __________________________________________________________ CEEB/ACT code ________________________
Check one:
❑ Early Action
❑ SAT/ACT Optional
❑ Regular Decision
❑ Transfer Student
(Deadline: November 15)
(Deadline: November 15)
(Preferred deadline: March 1)
Privacy Notice: Under the provisions of the Family Educational Rights and Privacy Act of 1974, you have the right to review your
educational records if you attend The University of Scranton. You may choose to waive your right of access to this specific recommendation.
Your decision to waive or not to waive your right of access will have no effect on your application for admission. Please check the appropriate
box and sign and date below.
❑ I hereby waive my right of access to this recommendation.
❑ I do not waive my right of access to this recommendation.
________________________________________________________________________________ __________________________
Applicant’s Signature
Date

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