University of

Pennsylvania Letter of Recommendation for Admission

Biomedical Graduate Studies
160 BRB II/III (This letter must be received by December 15)
Philadelphia, PA 19104-6064

To be completed by applicant (please print or type):

Name of applicant
Last (family) name Given name Middle initial or former name

Desired graduate group

Agreement Respecting Confidentiality

(Not required as a condition of admission)
I understand that this recommendation will be treated as confidential to the officers and faculty members of the University of
Pennsylvania; I understand further that it will be used solely for decision on my application for admission and fellowships. I therefore
agree that the contents of this appraisal shall not be made known to anyone else, including me.
Signature of applicant Date

To the referee:
The person named above has applied for admission to the University of Pennsylvania. Your recommendation must be received by
December 15. Please compare the applicant with other students you have known and indicate the educational level of the comparison
group.

Somewhat Truly Inadequate

Below Out-
Average Above Good Unusual excep- opportunity Comparison group
Avg. standing
Avg. tional to observe
Next
Lowest Middle Next
Hgst Highest 10%
40% 20% 15% __ College Seniors
15%
__ First year graduate students
__ Intermediate year graduate students
__ Terminal year graduate students

1 2 3 4 5 6 7 8
Please provide any further information concerning the applicant. Additional pages may be attached if necessary.

Signature Date

Typed or Printed Name, Position, and Institution

This recommendation is not subject to review by the applicant if he or she has signed the Agreement Respecting Confidentiality, above. In the
absence of the signature, under federal law, the student is entitled to see this recommendation if he or she matriculates.