Samplerec
Samplerec
Letter of Recommendation
Name ____________________________________________________________________
Last First Middle
Address __________________________________________________________________
Street City State ZIP Code
Specialization:
Pre-Kindergarten-Grade 12 Leadership Community College/Postsecondary Leadership
APPLICANTS WAIVER OF ACCESS STATEMENT: I understand this letter of evaluation is to be received and maintained in
confidence by the Ed.D. Program, for admission consideration for graduate status. I hereby expressly waive any and all rights I
might have of access to this evaluation under the Family Education Rights and Privacy Act of 1974, the California Information
Practices Act of 1977, and any or all other laws, regulations or policies. I understand that the rights I am waiving include, but
are not limited to, the right to inspect and review this letter, the right to have a copy of this letter made for my use; and the right
to request an amendment of this letter.
Name of Recommender_________________________________________________________
Signature of Recommender_________________________________ Date________________
Title________________________________________________________________________
Institution____________________________________________________________________
Email address______________________________ Phone____________________________
Address_____________________________________________________________________
_____________________________________________________________________