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Michigan State University Student Reference Request / Letter of Recommendation
 

Summary: Michigan State University
Student Reference Request / Letter of Recommendation
Authorization Form
References/Recommendations which are made from the recommender's personal observation or knowledge do not require
a written release from the student who is the subject of the reference/recommendation. However, if the student wishes the
recommender to include personally identifiable information from the student's education record (such as grades, GPA,
etc.), the student must provide a signed release.
Student Name ____________________________________________ Student Number _____________________
I request ___________________________________________________ to serve as a reference for me to:
Name: ___________________________________________________________________________________
Organization/School: _______________________________________________________________________
Address: _________________________________________________________________________________
City, State, Zip: ___________________________________________________________________________
Phone Number: ___________________________________________________________________________
The purpose(s) of the reference is/are (check all that apply):
application for employment
all forms of scholarship or honorary awards
admission to another education institution
other (please explain): _________________________________________________________________
_________________________________________________________________

  

Source: Arnosti, David N. - Department of Biochemistry and Molecular Biology, Michigan State University

 

Collections: Biology and Medicine