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Pleasemailrecommendationdirectlyto:

Graduate School Request for Recommendation


The University of Texas at Dallas

__________________________(programadvisor)
__________________________(programname)

800WCampbellRd,MailStation_____
Richardson,TX750803021

SECTION I: to be completed by applicant.


ApplicantsName:______________________________________________
Major/DegreeIntent:_______________________________(major)[]masters[]mastersthendoctorate[]doctorate
Term/YearofEntry:[]fall[]spring[]summer____________(year)
In accordance with The Family Education Rights and Privacy Act of 1974, materials in students files, such as
recommendation forms, are open to inspection upon request, unless the student has waived the right of access in
advance. Please indicate your wish by completing and signing the statement below. Your right to review the
recommendationisconsideredwaivedifyoudonotrespond.
Ihereby[]waivemyrighttoaccess[]retainmyrighttoaccess._____________________________________________

applicantssignature

date

SECTION II: to be completed by recommender.


Pleaseprovideyourcandidevaluationofthisapplicantsabilitytocompletesuccessfullytheprogramofgraduatestudy
indicated.Usespaceonbackofform,orattachletter,ifnecessary.

Rankingcomparedtostudents
top2% top10% top25% top50% unabletorank
incomparablefields:

RecommendersName:_____________________________________Positionortitle:_______________
Institution:_______________________________________________Phone#:____________________
Address:_________________________________________________Email:______________________
Signature:_______________________________________________Date:_______________________
Pleasemailrecommendationinasealedenvelopetotheaddressindicatedabove.Recommendationscanbesent
directlytotheprogramoffice.

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