LETTER OF REFERENCE OF

N AT U R A
L

SC
G
C OL L E

I E NC E
Under the provisions of the Family Educational Rights and Privacy Act of 1974, this
applicant (if admitted and enrolled) will have access to the information provided
below unless he/she waived such access.

Y
IC

IT
IG

S
AN R
E
S TA IV
T E UN

I hereby waive my right of access to the information recorded below.

Signature of Applicant Date

or

I do not waive my right of access to the information recorded below.

Signature of Applicant Date

To the Applicant: Please print your name here.

First Middle Last

To the Referee: The person named above is applying for admission to the Graduate Program in Chemistry at
Michigan State University. We would appreciate your candid opinion of the applicant’s scholarship, personal
strengths and weaknesses, and motivation for graduate study in chemistry. In your opinion, does the applicant
possess the intellectual and personal qualifications requisite for success in a demanding graduate program? Does
this applicant’s academic record do him or her justice? Please provide your comments in an attached letter (on
institution letterhead), or on the back of this sheet.

Please return your letter of reference directly to the MSU Chemistry Department in the envelope provided by
the applicant. Thank you.

Signature

Name of Referee

Position Date

Address