College of DuPage
Letter of Recommendation Authorization
I give permission to Professor/Instructor:
________________________________________________________________________
To write a letter of recommendation to:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Purpose of Letter:
________________________________________________________________________
Permission to release grades or GPA:
Release of Grades:
Please circle one:
YES
or
NO
Release of GPA:
Please circle one:
YES
or
NO
___I waive my right to review a copy of this letter at any time in the future.
___I do not waive my right to review a copy of this letter at any time in the future.
_______________________________________________________________________
Print Name
Last 4 digit of Social Security/ID#
Signature
Date
Instructions to the Professor/Instructor: Please return completed form & letter to
the Records Office, SRC 2015
*Copy of letter will remain in the Records Office.
ag: 3/08