Letter of Recommendation Permission Form

Before submitting this form, please first ask the individual(s) whose recommendation you are requesting. 

Please fill out this online form and hit submit.  The form will be sent to the individual writing the recommendation. 

A copy of this form will also be sent to your email.

Student Identification
Please type in your 9-digit Penn State ID Number
Currently enrolled PSU students should use their official PSU email
Name of Faculty Member or Other University Official or Organization
To do the following (select all that apply)
Send my letter of recommendation to:
In the space above, please list the names of all employers or educational institutions along with complete addresses, for each of the letters of recommendation you are requesting
Evaluation Requirements
For the purpose of:
I consent to the release of any information from my educational record (e.g. grades, GPA) that is deemed appropriate for purposes of the recommendation or evaluation
Waiver to View Recommendation (Please select one)
I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Sign above