Release for Letter of Recommendation Form

Use this form to provide faculty permission to provide a letter of recommendation for you as a student. 

The type of information I provide permission to release are as follows:

  • My academic performance during the OT program.
  • My professional behavior during the OT program.
  • My leadership performance during the OT program.
  • My therapy skills and performance observed in class, lab, clinical, and community activities during the OT program.
  • My social skills, attitude and personality characteristics demonstrated during the OT program.
  • Any other information about my performance in the OT program.

All fields marked with asterisk (*) are required.

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I hereby, ____ Waive or ____ Do Not Waive my right to review a recommendation letter or know the contents of any oral or other communication.*
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