Recommender: This Form - Merrimack College printable pdf download

Merrimack College Graduate Programs

Applicant Name: ____________________________________________________

Program applying to: ________________________________________________

The Federal Education and Privacy Act of 1974 provides you with the opportunity to view this recommendation at

a future date unless you specifically waive this right. Note that some professors and employers may not provide

you with a recommendation unless you have waived your right to view it, which preserves confidentiality and

impartiality in the review process. By signing the following statement, you agree to waive your right of access.

Please discuss the issue with the referees you have asked to provide letters.

I HEREBY FREELY AND VOLUNTARILY WAIVE MY RIGHTS OF ACCESS TO ANY INFORMATION CONTAINED ON THIS

RECOMMENDATION FORM AND AGREE THAT THE STATE SHALL REMAIN CONFIDENTIAL.

Signature of Applicant: ________________________________________________ Date: _____________________

Instructions to the Recommender: This form is essential to the evaluation of a candidate’s application. Please check

the appropriate boxes on the next page that best describe the candidate in relationship to other students you have

known. Then, provide a written synopsis of the candidate’s strengths and weaknesses and any other information that

you feel will help the Admissions Committee assess the candidate. If you wish, you may prepare a separate letter on

official letterhead instead of completing the last page of this form.

Please mail your recommendations directly to: Merrimack College - Office of Graduate Admissions,

315 Turnpike Street, North Andover, MA, 01845.

Evaluator (Please Print): ________________________________________________________________________

Evaluator Signature: ___________________________________________________________________________

Title: _________________________________ Department: __________________________________________

Institution: ______________________________________________ Phone: _____________________________

In what capacity have you known the applicant?

____________________________________________________________________________________________

Recommender: This Form - Merrimack College