Graduate Programs Recommendation Form printable pdf download

Northern Kentucky University

Office of Graduate Programs

302 Lucas Administrative Center

Highland Heights, KY 41099

859/572-1555

GRADUATE PROGRAMS

RECOMMENDATION FORM

To the Applicant

Each recommendation must include the completed Recommendation Form as well as a separate letter from your recommender written and

signed on academic or business letterhead stationery. Recommendations should be requested from professors or other professionals (e.g.,

employers) who are able to comment on your qualifications for graduate study. Recommendations from friends or relatives are not acceptable.

Complete all sections below and enter your name and program application deadline date on the reverse side. Deliver this form directly to the

recommender, along with a stamped envelope addressed to the Office of Graduate Programs at the address given above.

Applicant’s Information

Name: ___________________________________________________________________________________________________________________

Last or Family Name/Surname

First

Middle

Address: _________________________________________________________________________________________________________________

Email address: _______________________________________________ Last Four Digits of U.S. SSN (optional): ____________________________

Name of the graduate program(s) to which you are applying: ________________________________________________________________________

(If applying to more than one program, please indicate which program(s) should receive this recommendation.)

Degree sought: ____________________________________________________

Recommender’s Information

Name: ___________________________________________________________________________________________________________________

Title: ________________________________________________________ Institution/Organization: ________________________________________

Address: _________________________________________________________________________________________________________________

Phone: ______________________________________________________

Email: ____________________________________________________

IMPORTANT: At least one phone number must be supplied for verification purposes.

Applicant’s Waiver of Right to Access

The Family Educational Rights and Privacy Act of 1974 allows an applicant to waive his/her right of access to this recommendation form and letter of

recommendation. The university does not require the applicant to waive this right. Check one of the following statements and sign below:

I waive my right to review this recommendation form and letter of recommendation.

I do not waive my right to review this recommendation form or letter of recommendation.

Printed Name: _______________________________________Date: ______________ Signature: _______________________________________

Page 1 of 2

Both front and back (pages 1 and 2) of this form together with the recommendation letter must be returned to the Office of Graduate Programs.

Graduate Programs Recommendation Form