Emory University Office of Admission

Applicant: Please complete before giving to recommender.

 
Student's last name                                                           First                                                Middle                                                                                          

Student's address                                                                                                                                                                                                                             

City                                                                                   State                                                Zip                                                                                          

Institution                                                                                                                                                                                                                                       

Dates attended                                                                                                                                                                                                                                       

 

Applicant's Waiver of Right of Access to Confidential Statement I hereby freely and voluntarily waive my right of access to any information contained on this recommendation form and agree that the statement shall remain confidential.

Date                          Student's signature                                                                                                                                                                                   

 

Recommender: The above student is an applicant for admission to Emory College as a transfer student and has given your name as a reference. The Admission Committee would appreciate your candidate evaluation of the applicant. Due to federal legislation giving students access to educational records, Emory College cannot guarantee the confidentiality of your statement unless the applicant has signed the waiver printed above.

Please reply at your earliest convenience.

How long have you known the candidate?                                                                                                                                                                                                                                                    

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How well?                                                                                                                                                                                                                                                                                             

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Estimate the applicant's intellectual ability.                                                                                                                                                                                                                                                                                               

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Comments on the applicant's personality and character.                                                                                                                                                                                                                                                                                              ________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________

Additional comments.................................................................................................................................................................

Name (please print)                                                                                                                                                                                                                                       

Title (if instructor, state subject taught)                                                                                                                                                                                                                                       

Signature                                                                                                                            Date                                                                                                        

Institution                                                                                                                         Address                                                                                                       

Return directly to:
Office of Admission
Boisfeuillet Jones Center
Emory University
Atlanta, Georgia 30322-1950
800-727-6036

Emory University does not discriminate in admissions, educational programs, or employment on the basis of race, color, religion, religion, sexual orientation, national origin, age, disability, or veteran's status and prohibits such discrimination by its students, faculty, and staff. Students, faculty, and staff are assured of participation in university programs and in use of facilities without such discrimination. The university also complies with all applicable federal and Georgia statutes and regulations prohibiting unlawful discrimination. All members of the student body, faculty, and staff are expected to assist in making this policy valid in fact. Any inquiries regarding this policy should be directed to the Office of Equal Opportunity Programs, Administration Building, Emory University, Atlanta, Georgia 30322. Telephone 404.727.6016 V\TTY); fax 404.727.2666.