FERPA Waiver – Letter of Recommendation
I give permission to the following faculty members at Mennonite College of Nursing
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
to write a letter of recommendation on my behalf that includes my grades, GPA, and
class rank to the following (include hospital agency, contact person, and full address):
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____I waive my right to review a copy of this letter any time in the future.
_____I do NOT waive my right to review a copy of this letter any time in the future.
Student Name: ______________________________ UID#_____________________
Student Signature Date
The student needs to forward the signed FERPA form to mcnin[email protected]
(or fax it to 309-438-7711) to the MCN Office of Student Services. OSS will
put a copy in the student’s file and send the original FERPA form to the
Registrar’s Office.
