4+1 Program Letter of Recommendation Form

DEPARTMENT OF POLITICAL SCIENCE 4+1 PROGRAM LETTER OF RECOMMENDATION FORM

As part of my application to the 4+1 Program in Political Science, I hereby request that

______(Fill in: Department of Political Science Faculty Member 1) and

______(Fill in: Department of Political Science Faculty Member 2) write a letter or recommendation to the Graduate Committee in Political Science for admission to the 4+1 Program in Political Science.

I authorize these faculty members to consult my educational record at Vanderbilt University to reveal such information from my educational record, as they consider appropriate for the purpose stated above, including information pertaining to my education at other institutions I have previously attended which is a part of my education records at Vanderbilt.

(Check one) ☐ I waive ☐ I do not waive my right to see the recommendation or other information prepared pursuant to this release.

Name (print)______

Signature______

Student ID Number______

Date______