Department of Government
Placement File Agreement Form

For Academic Year
Email Address
First Name
Last Name
UT EID
Dissertation Supervisor(s)
Field 1
Field 2
Letters of Recommendation will be from the following persons:
1.
2.
3.
4.
5.
6.
Transcripts will be supplied from the following schools:
1.
2.
3.
4.
________________________________________________________________________
I have read and understand the procedures for setting up my placement file and packet requests for
mail outs. I understand that in exchange for using this service, I will supply the placement
coordinator with the following information: number of interviews (along with the name of the
institution), number of job offers, and which job offer is accepted. I am aware that this information
will be used by the placement director of the Department of Government. If I fail to comply, I
understand that I will no longer be able to use the placement service.
I hereby waive my right to access letters of recommendation written on my behalf and I am aware
that the Placement Director, Graduate Adviser, and/or any other faculty member, acting in an
official capacity, may review the contents of my placement file.
Signature
Date
July 1, 2009