Permission Form for Recommendation Letter

Dear S. Giles,

With this letter, I hereby request that you write a letter of recommendation for me to be addressed to the following:

Write clearly or type below the name and address for the letter:

By signing this letter, I give you (S. Giles) permission to include in the letter any information about my grades, GPA, academic standing, work habits, attendance, attitude, etc.

I also waive my right to review a copy of this letter in the future.

Print your name here: ____________________________________

Sign (signature here): ____________________________________

Date:                            ____________________