Summary: Notification of Privacy: We request your support in maintaining the confidentiality of the recommendation by sharing the
content only with the individuals directly involved in the decision making process. The information may not become a part of
the candidate's permanent record and is not to be re-disclosed. Graduate Program information is available at
In addition to responding to the items below, feel free to attach a letter that comments specifically on the applicant's strengths and limitations for graduate study.
of the Applicant
Institution or Company
Recommendation for Admission Form for Individuals Applying to a Rackham Graduate School Program (Paper Version)
Graduate Program information is available at http://www.rackham.umich.edu/academic_information/programs/
Under the provisions of the Family Education Rights and Privacy Act of 1974, you (if admitted and enrolled) will have access to the information provided unless
you have waived such access. Please sign and date below to inform us of your decision.
I hereby waive my right of access to the information recorded below. OR I do not waive my right of access to the information recorded below.
Signature of Applicant Date